Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,758.77 / $9,859.00	Facility		$100.00	$4,758.77	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,228.06 / $1,712.32 / $4,758.77	Professional		$1,228.06	$1,712.32	$4,758.77
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 $1,457.85 / $2,294.16 / $3,387.43	Professional		$1,457.85	$2,294.16	$3,387.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,503.38 / $2,470.94 / $3,947.00	Professional		$1,503.38	$2,470.94	$3,947.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,313.82 / $2,606.36 / $4,327.85	Professional		$1,313.82	$2,606.36	$4,327.85
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 $1,636.34 / $2,239.31 / $4,350.47	Professional		$1,636.34	$2,239.31	$4,350.47
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $939.94 / $1,033.93 / $1,315.92	Professional		$939.94	$1,033.93	$1,315.92