Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,651.51 / $9,859.00	Facility		$100.00	$6,651.51	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,696.81 / $2,380.03 / $6,651.51	Professional		$1,696.81	$2,380.03	$6,651.51
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 $1,994.15 / $3,106.15 / $4,693.52	Professional		$1,994.15	$3,106.15	$4,693.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,082.29 / $3,384.65 / $5,379.82	Professional		$2,082.29	$3,384.65	$5,379.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,820.39 / $3,611.29 / $5,996.55	Professional		$1,820.39	$3,611.29	$5,996.55
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 $2,137.92 / $3,235.20 / $6,471.69	Professional		$2,137.92	$3,235.20	$6,471.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,295.09 / $1,424.61 / $1,813.14	Professional		$1,295.09	$1,424.61	$1,813.14