Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,825.24 / $9,859.00	Facility		$100.00	$4,825.24	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.82 / $1,828.20 / $4,825.24	Professional		$1,412.82	$1,828.20	$4,825.24
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 $1,696.64 / $2,688.41 / $4,059.58	Professional		$1,696.64	$2,688.41	$4,059.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,792.07 / $2,916.73 / $4,659.09	Professional		$1,792.07	$2,916.73	$4,659.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,574.52 / $3,123.53 / $5,186.63	Professional		$1,574.52	$3,123.53	$5,186.63
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 $1,718.67 / $2,381.66 / $5,601.98	Professional		$1,718.67	$2,381.66	$5,601.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,102.26 / $1,212.49 / $1,543.16	Professional		$1,102.26	$1,212.49	$1,543.16