Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,926.66 / $9,859.00	Facility		$100.00	$4,926.66	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.03 / $1,212.36 / $4,926.66	Professional		$965.03	$1,212.36	$4,926.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $16,696.31 / $29,108.25	Facility		$5,299.00	$16,696.31	$29,108.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,638.93 / $2,676.95 / $3,921.23	Professional		$1,638.93	$2,676.95	$3,921.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,843.80 / $3,072.32 / $5,152.14	Professional		$1,843.80	$3,072.32	$5,152.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,556.37 / $3,087.53 / $5,126.84	Professional		$1,556.37	$3,087.53	$5,126.84
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 $1,562.26 / $2,343.50 / $3,695.19	Professional		$1,562.26	$2,343.50	$3,695.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,086.63 / $1,195.29 / $1,521.28	Professional		$1,086.63	$1,195.29	$1,521.28