Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,887.11 / $9,859.00	Facility		$100.00	$5,887.11	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.68 / $1,737.80 / $5,887.11	Professional		$1,608.68	$1,737.80	$5,887.11
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 $1,996.02 / $2,894.59 / $4,280.26	Professional		$1,996.02	$2,894.59	$4,280.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,206.23 / $3,606.20 / $5,223.14	Professional		$2,206.23	$3,606.20	$5,223.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,936.67 / $3,841.97 / $6,379.58	Professional		$1,936.67	$3,841.97	$6,379.58
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,249.87 / $3,245.53 / $9,102.51	Professional		$2,249.87	$3,245.53	$9,102.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,340.21 / $1,474.23 / $1,876.29	Professional		$1,340.21	$1,474.23	$1,876.29