Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,229.47 / $9,859.00	Facility		$100.00	$4,229.47	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.55 / $1,181.69 / $1,259.13	Professional		$1,027.55	$1,181.69	$1,259.13
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 $1,283.11 / $1,925.10 / $2,839.04	Professional		$1,283.11	$1,925.10	$2,839.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,459.69 / $2,410.87 / $3,465.35	Professional		$1,459.69	$2,410.87	$3,465.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,284.57 / $2,548.33 / $4,231.50	Professional		$1,284.57	$2,548.33	$4,231.50
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 $1,561.65 / $1,960.45 / $4,570.37	Professional		$1,561.65	$1,960.45	$4,570.37
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $908.94 / $1,090.73 / $1,603.37	Professional		$908.94	$1,090.73	$1,603.37