Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,542.58 / $9,859.00	Facility		$100.00	$4,542.58	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.20 / $1,344.64 / $4,542.58	Professional		$1,258.20	$1,344.64	$4,542.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,402.07 / $16,742.15 / $24,290.01	Facility		$8,402.07	$16,742.15	$24,290.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,402.96 / $2,063.04 / $3,043.65	Professional		$1,402.96	$2,063.04	$3,043.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,564.84 / $2,602.35 / $3,713.41	Professional		$1,564.84	$2,602.35	$3,713.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,377.15 / $2,731.99 / $4,536.47	Professional		$1,377.15	$2,731.99	$4,536.47
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 $1,685.96 / $1,787.06 / $4,899.76	Professional		$1,685.96	$1,787.06	$4,899.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $983.76 / $1,180.51 / $1,735.35	Professional		$983.76	$1,180.51	$1,735.35