Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,847.06 / $9,859.00	Facility		$100.00	$3,847.06	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.81 / $1,139.48 / $3,847.06	Professional		$1,060.81	$1,139.48	$3,847.06
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 $1,176.69 / $1,785.50 / $2,631.98	Professional		$1,176.69	$1,785.50	$2,631.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,354.46 / $2,237.50 / $3,216.98	Professional		$1,354.46	$2,237.50	$3,216.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,190.88 / $2,362.46 / $3,922.88	Professional		$1,190.88	$2,362.46	$3,922.88
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 $1,436.80 / $1,805.71 / $4,237.03	Professional		$1,436.80	$1,805.71	$4,237.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $837.91 / $1,005.49 / $1,478.07	Professional		$837.91	$1,005.49	$1,478.07