Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,199.53 / $9,859.00	Facility		$100.00	$4,199.53	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.89 / $1,503.89 / $4,199.53	Professional		$1,071.89	$1,503.89	$4,199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $14,347.98 / $25,014.19	Facility		$5,299.00	$14,347.98	$25,014.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.69 / $1,964.79 / $2,969.26	Professional		$1,258.69	$1,964.79	$2,969.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.44 / $2,130.86 / $3,403.76	Professional		$1,318.44	$2,130.86	$3,403.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,151.63 / $2,284.60 / $3,793.58	Professional		$1,151.63	$2,284.60	$3,793.58
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 $1,396.12 / $1,758.93 / $3,413.42	Professional		$1,396.12	$1,758.93	$3,413.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $816.46 / $898.11 / $1,143.04	Professional		$816.46	$898.11	$1,143.04