Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,580.50 / $9,859.00	Facility		$100.00	$5,580.50	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,725.38 / $2,289.17 / $5,580.50	Professional		$1,725.38	$2,289.17	$5,580.50
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 $2,048.44 / $3,275.68 / $4,793.64	Professional		$2,048.44	$3,275.68	$4,793.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,186.32 / $3,568.68 / $5,154.35	Professional		$2,186.32	$3,568.68	$5,154.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,939.63 / $3,847.84 / $6,389.34	Professional		$1,939.63	$3,847.84	$6,389.34
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 $2,077.23 / $3,235.77 / $5,061.79	Professional		$2,077.23	$3,235.77	$5,061.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,328.68 / $1,461.55 / $1,860.15	Professional		$1,328.68	$1,461.55	$1,860.15