Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,208.67 / $9,859.00	Facility		$100.00	$4,208.67	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.14 / $1,055.84 / $4,208.67	Professional		$897.14	$1,055.84	$4,208.67
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 $1,371.34 / $2,186.10 / $3,182.13	Professional		$1,371.34	$2,186.10	$3,182.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,553.73 / $2,574.46 / $3,679.11	Professional		$1,553.73	$2,574.46	$3,679.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,341.60 / $2,661.47 / $4,419.35	Professional		$1,341.60	$2,661.47	$4,419.35
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 $1,544.29 / $1,789.33 / $4,773.28	Professional		$1,544.29	$1,789.33	$4,773.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $926.00 / $1,018.60 / $1,296.40	Professional		$926.00	$1,018.60	$1,296.40