Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,917.86 / $9,859.00	Facility		$100.00	$3,917.86	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,135.11 / $1,489.04 / $3,917.86	Professional		$1,135.11	$1,489.04	$3,917.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,469.44 / $11,697.30 / $17,400.00	Facility		$6,469.44	$11,697.30	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,234.94 / $2,061.44 / $3,084.78	Professional		$1,234.94	$2,061.44	$3,084.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,369.47 / $2,256.75 / $3,604.85	Professional		$1,369.47	$2,256.75	$3,604.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,196.44 / $2,373.50 / $3,941.19	Professional		$1,196.44	$2,373.50	$3,941.19
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 $1,382.58 / $1,872.01 / $3,487.82	Professional		$1,382.58	$1,872.01	$3,487.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $835.22 / $918.74 / $1,169.31	Professional		$835.22	$918.74	$1,169.31