Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,162.03 / $9,859.00	Facility		$100.00	$5,162.03	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,331.72 / $1,854.92 / $5,162.03	Professional		$1,331.72	$1,854.92	$5,162.03
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 $1,562.68 / $2,434.69 / $3,679.60	Professional		$1,562.68	$2,434.69	$3,679.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,633.27 / $2,656.28 / $4,218.88	Professional		$1,633.27	$2,656.28	$4,218.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,427.14 / $2,831.16 / $4,701.14	Professional		$1,427.14	$2,831.16	$4,701.14
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 $1,681.30 / $2,194.40 / $4,258.51	Professional		$1,681.30	$2,194.40	$4,258.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,018.01 / $1,119.81 / $1,425.21	Professional		$1,018.01	$1,119.81	$1,425.21