Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,620.61 / $9,859.00	Facility		$100.00	$5,620.61	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.15 / $1,387.55 / $5,620.61	Professional		$1,163.15	$1,387.55	$5,620.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,873.65 / $3,158.06 / $4,615.54	Professional		$1,873.65	$3,158.06	$4,615.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,260.07 / $3,722.96 / $5,306.74	Professional		$2,260.07	$3,722.96	$5,306.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,945.93 / $3,860.34 / $6,410.09	Professional		$1,945.93	$3,860.34	$6,410.09
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,211.15 / $3,059.93 / $5,964.86	Professional		$2,211.15	$3,059.93	$5,964.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,354.36 / $1,611.65 / $2,434.04	Professional		$1,354.36	$1,611.65	$2,434.04