Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,208.27 / $9,859.00	Facility		$100.00	$4,208.27	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,290.22 / $1,759.85 / $4,208.27	Professional		$1,290.22	$1,759.85	$4,208.27
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 $1,496.01 / $2,445.60 / $3,579.22	Professional		$1,496.01	$2,445.60	$3,579.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,633.78 / $2,664.33 / $3,851.39	Professional		$1,633.78	$2,664.33	$3,851.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,448.24 / $2,873.02 / $4,770.64	Professional		$1,448.24	$2,873.02	$4,770.64
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 $1,637.98 / $2,408.94 / $3,768.36	Professional		$1,637.98	$2,408.94	$3,768.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $989.98 / $1,088.98 / $1,385.97	Professional		$989.98	$1,088.98	$1,385.97