Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,951.99 / $9,859.00	Facility		$100.00	$4,951.99	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.63 / $1,761.54 / $4,951.99	Professional		$1,248.63	$1,761.54	$4,951.99
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 $1,471.23 / $2,300.53 / $3,474.31	Professional		$1,471.23	$2,300.53	$3,474.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,542.53 / $2,494.54 / $3,984.69	Professional		$1,542.53	$2,494.54	$3,984.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,347.52 / $2,673.21 / $4,438.87	Professional		$1,347.52	$2,673.21	$4,438.87
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 $1,347.52 / $1,859.49 / $3,981.88	Professional		$1,347.52	$1,859.49	$3,981.88
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $952.38 / $1,047.61 / $1,333.33	Professional		$952.38	$1,047.61	$1,333.33