Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,145.73 / $9,859.00	Facility		$100.00	$6,145.73	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,516.92 / $2,619.59 / $6,145.73	Professional		$1,516.92	$2,619.59	$6,145.73
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 $1,751.71 / $2,851.18 / $4,418.84	Professional		$1,751.71	$2,851.18	$4,418.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,911.12 / $3,090.59 / $4,936.81	Professional		$1,911.12	$3,090.59	$4,936.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,670.79 / $3,314.51 / $5,503.75	Professional		$1,670.79	$3,314.51	$5,503.75
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 $1,951.60 / $2,969.33 / $5,906.65	Professional		$1,951.60	$2,969.33	$5,906.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,182.23 / $1,300.45 / $1,655.12	Professional		$1,182.23	$1,300.45	$1,655.12