Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,931.30 / $9,859.00	Facility		$100.00	$4,931.30	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,611.66 / $2,102.07 / $4,931.30	Professional		$1,611.66	$2,102.07	$4,931.30
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 $1,910.84 / $3,062.04 / $4,480.64	Professional		$1,910.84	$3,062.04	$4,480.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.16 / $3,336.07 / $4,819.63	Professional		$2,044.16	$3,336.07	$4,819.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,812.99 / $3,596.61 / $5,972.17	Professional		$1,812.99	$3,596.61	$5,972.17
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 $1,819.30 / $2,682.98 / $4,721.67	Professional		$1,819.30	$2,682.98	$4,721.67
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,239.80 / $1,363.78 / $1,735.72	Professional		$1,239.80	$1,363.78	$1,735.72