Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,032.37 / $9,859.00	Facility		$100.00	$5,032.37	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,277.20 / $1,798.83 / $2,385.00	Professional		$1,277.20	$1,798.83	$2,385.00
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 $1,512.21 / $2,376.19 / $3,593.65	Professional		$1,512.21	$2,376.19	$3,593.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,596.45 / $2,575.77 / $4,114.43	Professional		$1,596.45	$2,575.77	$4,114.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,393.81 / $2,765.04 / $4,591.35	Professional		$1,393.81	$2,765.04	$4,591.35
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 $1,715.01 / $2,374.63 / $4,096.24	Professional		$1,715.01	$2,374.63	$4,096.24
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $980.40 / $1,078.44 / $1,372.56	Professional		$980.40	$1,078.44	$1,372.56