Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,425.41 / $9,859.00	Facility		$100.00	$4,425.41	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.84 / $1,063.74 / $4,425.41	Professional		$839.84	$1,063.74	$4,425.41
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 $1,442.63 / $2,385.09 / $3,495.78	Professional		$1,442.63	$2,385.09	$3,495.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,633.59 / $2,727.22 / $4,573.92	Professional		$1,633.59	$2,727.22	$4,573.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,387.51 / $2,752.54 / $4,570.60	Professional		$1,387.51	$2,752.54	$4,570.60
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 $1,236.99 / $1,891.16 / $3,290.43	Professional		$1,236.99	$1,891.16	$3,290.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $966.12 / $1,062.73 / $1,352.57	Professional		$966.12	$1,062.73	$1,352.57