Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,292.38 / $9,859.00	Facility		$100.00	$6,292.38	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,744.24 / $2,502.15 / $6,292.38	Professional		$1,744.24	$2,502.15	$6,292.38
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 $2,529.42 / $3,971.90 / $5,782.02	Professional		$2,529.42	$3,971.90	$5,782.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,653.99 / $4,371.93 / $6,291.62	Professional		$2,653.99	$4,371.93	$6,291.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,339.56 / $4,641.22 / $7,706.74	Professional		$2,339.56	$4,641.22	$7,706.74
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 $2,402.89 / $3,705.93 / $6,261.53	Professional		$2,402.89	$3,705.93	$6,261.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,500.19 / $1,904.33 / $2,921.08	Professional		$1,500.19	$1,904.33	$2,921.08