Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $9,859.00 / $12,481.60	Facility		$100.00	$9,859.00	$12,481.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,681.63 / $5,110.33 / $12,481.60	Professional		$3,681.63	$5,110.33	$12,481.60
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 $4,442.71 / $6,943.47 / $10,151.95	Professional		$4,442.71	$6,943.47	$10,151.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,616.88 / $7,755.16 / $10,894.10	Professional		$4,616.88	$7,755.16	$10,894.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4,107.74 / $8,148.93 / $13,531.31	Professional		$4,107.74	$8,148.93	$13,531.31
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 $4,705.13 / $6,439.83 / $10,880.71	Professional		$4,705.13	$6,439.83	$10,880.71
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,847.95 / $3,132.75 / $3,987.13	Professional		$2,847.95	$3,132.75	$3,987.13