Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,307.14 / $9,859.00	Facility		$100.00	$5,307.14	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.55 / $2,274.91 / $5,307.14	Professional		$1,320.55	$2,274.91	$5,307.14
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 $1,521.94 / $2,468.39 / $3,826.33	Professional		$1,521.94	$2,468.39	$3,826.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,655.14 / $2,694.69 / $4,274.18	Professional		$1,655.14	$2,694.69	$4,274.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,446.76 / $2,870.08 / $4,765.77	Professional		$1,446.76	$2,870.08	$4,765.77
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 $1,586.89 / $2,485.84 / $5,147.43	Professional		$1,586.89	$2,485.84	$5,147.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,024.97 / $1,127.47 / $1,434.96	Professional		$1,024.97	$1,127.47	$1,434.96