Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,583.73 / $9,859.00	Facility		$100.00	$5,583.73	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,418.94 / $2,000.15 / $5,583.73	Professional		$1,418.94	$2,000.15	$5,583.73
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 $1,674.89 / $2,616.55 / $3,951.69	Professional		$1,674.89	$2,616.55	$3,951.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,754.21 / $2,845.43 / $4,530.88	Professional		$1,754.21	$2,845.43	$4,530.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,532.67 / $3,040.51 / $5,048.77	Professional		$1,532.67	$3,040.51	$5,048.77
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 $1,781.12 / $2,746.58 / $5,453.09	Professional		$1,781.12	$2,746.58	$5,453.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,083.81 / $1,192.19 / $1,517.33	Professional		$1,083.81	$1,192.19	$1,517.33