Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,087.40 / $9,859.00	Facility		$100.00	$4,087.40	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,246.13 / $1,701.57 / $4,087.40	Professional		$1,246.13	$1,701.57	$4,087.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $20,162.41 / $35,151.03	Facility		$8,512.20	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.07 / $2,359.52 / $3,459.33	Professional		$1,440.07	$2,359.52	$3,459.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,581.43 / $2,571.87 / $3,721.67	Professional		$1,581.43	$2,571.87	$3,721.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,399.73 / $2,776.78 / $4,610.85	Professional		$1,399.73	$2,776.78	$4,610.85
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.16 / $2,144.73 / $3,623.74	Professional		$1,513.16	$2,144.73	$3,623.74
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $953.27 / $1,048.59 / $1,334.58	Professional		$953.27	$1,048.59	$1,334.58