Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,187.33 / $9,859.00	Facility		$100.00	$5,187.33	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,313.80 / $1,847.45 / $5,187.33	Professional		$1,313.80	$1,847.45	$5,187.33
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 $1,546.50 / $2,411.79 / $3,644.25	Professional		$1,546.50	$2,411.79	$3,644.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,617.68 / $2,627.13 / $4,178.89	Professional		$1,617.68	$2,627.13	$4,178.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,413.44 / $2,803.98 / $4,656.01	Professional		$1,413.44	$2,803.98	$4,656.01
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,547.57 / $2,246.42 / $5,028.88	Professional		$1,547.57	$2,246.42	$5,028.88
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,000.93 / $1,101.02 / $1,401.30	Professional		$1,000.93	$1,101.02	$1,401.30