Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,974.02 / $9,859.00	Facility		$100.00	$5,974.02	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,741.81 / $1,781.65 / $5,974.02	Professional		$1,741.81	$1,781.65	$5,974.02
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 $1,897.94 / $2,759.41 / $4,069.93	Professional		$1,897.94	$2,759.41	$4,069.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,092.46 / $3,540.06 / $4,967.02	Professional		$2,092.46	$3,540.06	$4,967.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,841.50 / $3,653.17 / $6,066.09	Professional		$1,841.50	$3,653.17	$6,066.09
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 $1,807.32 / $2,389.79 / $5,288.24	Professional		$1,807.32	$2,389.79	$5,288.24
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,365.26 / $1,608.61 / $2,408.32	Professional		$1,365.26	$1,608.61	$2,408.32