Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,544.05 / $9,859.00	Facility		$100.00	$5,544.05	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,668.36 / $2,293.12 / $5,544.05	Professional		$1,668.36	$2,293.12	$5,544.05
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 $1,936.98 / $3,168.23 / $4,635.33	Professional		$1,936.98	$3,168.23	$4,635.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,115.33 / $3,452.85 / $4,987.89	Professional		$2,115.33	$3,452.85	$4,987.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,875.57 / $3,720.76 / $6,178.32	Professional		$1,875.57	$3,720.76	$6,178.32
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 $2,122.15 / $2,688.91 / $4,884.76	Professional		$2,122.15	$2,688.91	$4,884.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,282.89 / $1,411.18 / $1,796.05	Professional		$1,282.89	$1,411.18	$1,796.05