Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,446.43 / $9,859.00	Facility		$100.00	$6,446.43	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,681.18 / $2,321.88 / $6,446.43	Professional		$1,681.18	$2,321.88	$6,446.43
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 $1,987.29 / $3,094.08 / $4,673.47	Professional		$1,987.29	$3,094.08	$4,673.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,073.14 / $3,369.08 / $5,359.21	Professional		$2,073.14	$3,369.08	$5,359.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,812.62 / $3,595.88 / $5,970.95	Professional		$1,812.62	$3,595.88	$5,970.95
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 $2,247.34 / $2,765.95 / $5,367.68	Professional		$2,247.34	$2,765.95	$5,367.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,282.81 / $1,411.09 / $1,795.93	Professional		$1,282.81	$1,411.09	$1,795.93