Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,643.26 / $9,859.00	Facility		$100.00	$5,643.26	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,425.30 / $2,008.38 / $2,645.04	Professional		$1,425.30	$2,008.38	$2,645.04
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 $1,688.27 / $2,634.35 / $3,980.33	Professional		$1,688.27	$2,634.35	$3,980.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,766.26 / $2,857.00 / $4,563.67	Professional		$1,766.26	$2,857.00	$4,563.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,543.78 / $3,062.55 / $5,085.37	Professional		$1,543.78	$3,062.55	$5,085.37
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 $1,905.93 / $2,608.21 / $4,565.84	Professional		$1,905.93	$2,608.21	$4,565.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,091.49 / $1,200.64 / $1,528.09	Professional		$1,091.49	$1,200.64	$1,528.09