Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,140.71 / $9,859.00	Facility		$100.00	$5,140.71	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,511.82 / $1,536.00 / $5,140.71	Professional		$1,511.82	$1,536.00	$5,140.71
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 $1,731.72 / $2,541.13 / $3,759.75	Professional		$1,731.72	$2,541.13	$3,759.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,938.36 / $3,163.19 / $4,586.31	Professional		$1,938.36	$3,163.19	$4,586.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,701.16 / $3,374.76 / $5,603.79	Professional		$1,701.16	$3,374.76	$5,603.79
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 $2,022.36 / $2,034.97 / $4,503.07	Professional		$2,022.36	$2,034.97	$4,503.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,163.34 / $1,279.69 / $1,628.69	Professional		$1,163.34	$1,279.69	$1,628.69