Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,060.60 / $9,859.00	Facility		$100.00	$4,060.60	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.98 / $1,211.17 / $4,060.60	Professional		$1,171.98	$1,211.17	$4,060.60
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 $1,347.77 / $2,007.09 / $2,967.53	Professional		$1,347.77	$2,007.09	$2,967.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,529.98 / $2,444.30 / $3,622.54	Professional		$1,529.98	$2,444.30	$3,622.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,342.71 / $2,663.67 / $4,423.02	Professional		$1,342.71	$2,663.67	$4,423.02
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 $1,543.26 / $2,050.63 / $4,777.22	Professional		$1,543.26	$2,050.63	$4,777.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $914.26 / $1,094.45 / $1,612.75	Professional		$914.26	$1,094.45	$1,612.75