Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,372.22 / $9,859.00	Facility		$100.00	$4,372.22	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.47 / $1,217.61 / $4,372.22	Professional		$1,167.47	$1,217.61	$4,372.22
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 $1,327.95 / $2,113.09 / $3,075.86	Professional		$1,327.95	$2,113.09	$3,075.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,503.61 / $2,631.10 / $3,556.42	Professional		$1,503.61	$2,631.10	$3,556.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,296.79 / $2,572.57 / $4,271.76	Professional		$1,296.79	$2,572.57	$4,271.76
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 $1,477.56 / $1,986.05 / $6,395.83	Professional		$1,477.56	$1,986.05	$6,395.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $894.61 / $984.07 / $1,252.45	Professional		$894.61	$984.07	$1,252.45