Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,386.33 / $9,859.00	Facility		$100.00	$5,386.33	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.70 / $2,233.69 / $5,386.33	Professional		$1,621.70	$2,233.69	$5,386.33
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 $1,921.87 / $3,068.32 / $4,489.80	Professional		$1,921.87	$3,068.32	$4,489.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,047.73 / $3,340.44 / $4,827.93	Professional		$2,047.73	$3,340.44	$4,827.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,816.69 / $3,603.95 / $5,984.36	Professional		$1,816.69	$3,603.95	$5,984.36
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 $1,816.69 / $2,497.28 / $4,742.34	Professional		$1,816.69	$2,497.28	$4,742.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,244.86 / $1,369.36 / $1,742.82	Professional		$1,244.86	$1,369.36	$1,742.82