Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,262.45 / $9,859.00	Facility		$100.00	$4,262.45	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,225.96 / $1,532.82 / $4,262.45	Professional		$1,225.96	$1,532.82	$4,262.45
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 $1,311.89 / $2,054.44 / $3,105.79	Professional		$1,311.89	$2,054.44	$3,105.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,379.40 / $2,267.83 / $3,559.68	Professional		$1,379.40	$2,267.83	$3,559.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,204.58 / $2,389.67 / $3,968.04	Professional		$1,204.58	$2,389.67	$3,968.04
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 $1,255.30 / $1,904.34 / $3,548.05	Professional		$1,255.30	$1,904.34	$3,548.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $849.03 / $933.93 / $1,188.64	Professional		$849.03	$933.93	$1,188.64