Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,659.72 / $9,859.00	Facility		$100.00	$4,659.72	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.99 / $1,721.69 / $4,659.72	Professional		$1,166.99	$1,721.69	$4,659.72
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 $1,776.92 / $2,855.93 / $4,182.32	Professional		$1,776.92	$2,855.93	$4,182.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,909.90 / $3,114.14 / $4,499.62	Professional		$1,909.90	$3,114.14	$4,499.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,692.27 / $3,357.13 / $5,574.51	Professional		$1,692.27	$3,357.13	$5,574.51
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 $1,656.47 / $2,602.04 / $4,396.39	Professional		$1,656.47	$2,602.04	$4,396.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,155.33 / $1,270.85 / $1,617.46	Professional		$1,155.33	$1,270.85	$1,617.46