Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,734.10 / $9,859.00	Facility		$100.00	$3,734.10	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,090.54 / $1,360.75 / $3,734.10	Professional		$1,090.54	$1,360.75	$3,734.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $14,347.98 / $25,014.19	Facility		$5,299.00	$14,347.98	$25,014.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,272.16 / $2,069.09 / $3,124.88	Professional		$1,272.16	$2,069.09	$3,124.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,379.43 / $2,244.32 / $3,585.00	Professional		$1,379.43	$2,244.32	$3,585.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,211.99 / $2,404.35 / $3,992.42	Professional		$1,211.99	$2,404.35	$3,992.42
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,373.18 / $1,836.99 / $3,564.91	Professional		$1,373.18	$1,836.99	$3,564.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $850.15 / $935.17 / $1,190.21	Professional		$850.15	$935.17	$1,190.21