Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,422.86 / $9,859.00	Facility		$100.00	$5,422.86	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.53 / $2,313.41 / $5,422.86	Professional		$1,340.53	$2,313.41	$5,422.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,652.57 / $15,174.00 / $25,014.19	Facility		$8,652.57	$15,174.00	$25,014.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,536.35 / $2,521.80 / $3,910.55	Professional		$1,536.35	$2,521.80	$3,910.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,692.02 / $2,734.51 / $4,368.01	Professional		$1,692.02	$2,734.51	$4,368.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,478.61 / $2,933.27 / $4,870.68	Professional		$1,478.61	$2,933.27	$4,870.68
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 $1,782.50 / $2,251.66 / $4,588.12	Professional		$1,782.50	$2,251.66	$4,588.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,044.85 / $1,149.34 / $1,462.80	Professional		$1,044.85	$1,149.34	$1,462.80