Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,939.53 / $9,859.00	Facility		$100.00	$3,939.53	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,009.94 / $1,451.46 / $3,939.53	Professional		$1,009.94	$1,451.46	$3,939.53
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 $1,188.94 / $1,861.16 / $2,811.72	Professional		$1,188.94	$1,861.16	$2,811.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.70 / $2,109.40 / $3,219.57	Professional		$1,248.70	$2,109.40	$3,219.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,090.53 / $2,163.39 / $3,592.31	Professional		$1,090.53	$2,163.39	$3,592.31
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 $1,267.30 / $1,655.79 / $3,880.00	Professional		$1,267.30	$1,655.79	$3,880.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $768.82 / $845.70 / $1,076.34	Professional		$768.82	$845.70	$1,076.34