Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,655.35 / $9,859.00	Facility		$100.00	$4,655.35	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.27 / $1,664.59 / $2,132.46	Professional		$1,181.27	$1,664.59	$2,132.46
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 $1,400.72 / $2,184.17 / $3,299.60	Professional		$1,400.72	$2,184.17	$3,299.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,464.58 / $2,367.27 / $3,781.21	Professional		$1,464.58	$2,367.27	$3,781.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,279.76 / $2,538.79 / $4,215.66	Professional		$1,279.76	$2,538.79	$4,215.66
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,487.21 / $2,043.53 / $3,807.38	Professional		$1,487.21	$2,043.53	$3,807.38
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $910.15 / $1,092.18 / $1,605.50	Professional		$910.15	$1,092.18	$1,605.50