Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,115.85 / $9,859.00	Facility		$100.00	$5,115.85	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.09 / $1,513.09 / $5,115.85	Professional		$1,513.09	$1,513.09	$5,115.85
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 $1,718.71 / $2,554.42 / $3,775.30	Professional		$1,718.71	$2,554.42	$3,775.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,946.58 / $3,183.26 / $4,610.93	Professional		$1,946.58	$3,183.26	$4,610.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,708.19 / $3,388.71 / $5,626.95	Professional		$1,708.19	$3,388.71	$5,626.95
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 $2,012.58 / $2,641.83 / $6,077.57	Professional		$2,012.58	$2,641.83	$6,077.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,178.58 / $1,296.45 / $1,650.03	Professional		$1,178.58	$1,296.45	$1,650.03