Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,353.46 / $9,859.00	Facility		$100.00	$4,353.46	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,302.67 / $1,306.35 / $4,353.46	Professional		$1,302.67	$1,306.35	$4,353.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $13,932.60 / $24,290.01	Facility		$5,299.00	$13,932.60	$24,290.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,493.62 / $2,170.52 / $3,209.78	Professional		$1,493.62	$2,170.52	$3,209.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,655.97 / $2,703.21 / $3,920.10	Professional		$1,655.97	$2,703.21	$3,920.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,452.32 / $2,881.11 / $4,784.09	Professional		$1,452.32	$2,881.11	$4,784.09
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.32 / $1,888.25 / $3,879.95	Professional		$1,452.32	$1,888.25	$3,879.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,003.49 / $1,103.83 / $1,404.89	Professional		$1,003.49	$1,103.83	$1,404.89