Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,167.93 / $8,965.00	Facility		$100.00	$4,167.93	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,064.20 / $1,486.04 / $4,167.93	Professional		$1,064.20	$1,486.04	$4,167.93
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 $1,405.15 / $2,217.23 / $3,349.25	Professional		$1,405.15	$2,217.23	$3,349.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,477.86 / $2,405.76 / $3,842.87	Professional		$1,477.86	$2,405.76	$3,842.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,299.01 / $2,576.98 / $4,279.07	Professional		$1,299.01	$2,576.98	$4,279.07
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,454.56 / $2,018.81 / $3,822.19	Professional		$1,454.56	$2,018.81	$3,822.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $911.18 / $1,002.30 / $1,275.65	Professional		$911.18	$1,002.30	$1,275.65