Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,473.58 / $9,859.00	Facility		$100.00	$6,473.58	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,381.80 / $1,578.65 / $6,473.58	Professional		$1,381.80	$1,578.65	$6,473.58
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 $1,957.25 / $3,072.46 / $4,509.92	Professional		$1,957.25	$3,072.46	$4,509.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,088.48 / $3,503.69 / $5,876.16	Professional		$2,088.48	$3,503.69	$5,876.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,790.03 / $3,551.06 / $5,896.54	Professional		$1,790.03	$3,551.06	$5,896.54
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 $2,108.27 / $2,798.06 / $4,924.21	Professional		$2,108.27	$2,798.06	$4,924.21
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,284.43 / $1,412.87 / $1,798.20	Professional		$1,284.43	$1,412.87	$1,798.20