Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,935.81 / $9,859.00	Facility		$100.00	$5,935.81	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,504.16 / $2,114.39 / $5,935.81	Professional		$1,504.16	$2,114.39	$5,935.81
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 $1,773.59 / $2,764.07 / $4,173.18	Professional		$1,773.59	$2,764.07	$4,173.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,852.26 / $2,999.70 / $4,791.62	Professional		$1,852.26	$2,999.70	$4,791.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,618.58 / $3,210.94 / $5,331.76	Professional		$1,618.58	$3,210.94	$5,331.76
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 $2,006.39 / $2,469.41 / $4,792.18	Professional		$2,006.39	$2,469.41	$4,792.18
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,145.88 / $1,260.47 / $1,604.23	Professional		$1,145.88	$1,260.47	$1,604.23