Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,548.56 / $9,859.00	Facility		$100.00	$6,548.56	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,981.14 / $2,533.42 / $6,548.56	Professional		$1,981.14	$2,533.42	$6,548.56
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 $2,361.61 / $3,758.90 / $5,495.59	Professional		$2,361.61	$3,758.90	$5,495.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,503.83 / $4,120.87 / $5,908.39	Professional		$2,503.83	$4,120.87	$5,908.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,223.65 / $4,411.28 / $7,324.93	Professional		$2,223.65	$4,411.28	$7,324.93
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 $2,525.50 / $3,725.84 / $13,914.00	Professional		$2,525.50	$3,725.84	$13,914.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,528.43 / $1,681.27 / $2,139.80	Professional		$1,528.43	$1,681.27	$2,139.80