Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,291.05 / $9,859.00	Facility		$100.00	$4,291.05	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,157.56 / $1,605.16 / $4,291.05	Professional		$1,157.56	$1,605.16	$4,291.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $9,734.34 / $16,970.79	Facility		$3,669.00	$9,734.34	$16,970.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,299.34 / $2,032.83 / $3,072.37	Professional		$1,299.34	$2,032.83	$3,072.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,363.95 / $2,314.51 / $3,520.19	Professional		$1,363.95	$2,314.51	$3,520.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,191.63 / $2,363.96 / $3,925.35	Professional		$1,191.63	$2,363.96	$3,925.35
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 $1,472.59 / $1,887.79 / $3,517.22	Professional		$1,472.59	$1,887.79	$3,517.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $841.23 / $925.35 / $1,177.72	Professional		$841.23	$925.35	$1,177.72