Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,180.06 / $9,859.00	Facility		$100.00	$4,180.06	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.28 / $1,491.02 / $4,180.06	Professional		$1,061.28	$1,491.02	$4,180.06
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 $1,249.16 / $1,953.98 / $2,953.98	Professional		$1,249.16	$1,953.98	$2,953.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,311.61 / $2,118.89 / $3,384.65	Professional		$1,311.61	$2,118.89	$3,384.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,145.71 / $2,272.86 / $3,774.08	Professional		$1,145.71	$2,272.86	$3,774.08
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 $1,364.68 / $1,644.44 / $3,380.48	Professional		$1,364.68	$1,644.44	$3,380.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $808.63 / $889.49 / $1,132.08	Professional		$808.63	$889.49	$1,132.08