Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,843.17 / $9,859.00	Facility		$100.00	$4,843.17	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.23 / $2,067.21 / $4,843.17	Professional		$1,199.23	$2,067.21	$4,843.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $9,734.34 / $16,970.79	Facility		$3,669.00	$9,734.34	$16,970.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,382.64 / $2,258.56 / $3,500.20	Professional		$1,382.64	$2,258.56	$3,500.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,514.85 / $2,447.65 / $3,909.79	Professional		$1,514.85	$2,447.65	$3,909.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,323.45 / $2,625.46 / $4,359.58	Professional		$1,323.45	$2,625.46	$4,359.58
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 $1,634.80 / $2,358.65 / $4,099.89	Professional		$1,634.80	$2,358.65	$4,099.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $933.88 / $1,027.27 / $1,307.43	Professional		$933.88	$1,027.27	$1,307.43