Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,436.68 / $9,859.00	Facility		$100.00	$4,436.68	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.75 / $1,170.27 / $4,436.68	Professional		$1,165.75	$1,170.27	$4,436.68
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 $1,423.49 / $2,253.67 / $3,280.50	Professional		$1,423.49	$2,253.67	$3,280.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,600.01 / $2,804.47 / $3,788.90	Professional		$1,600.01	$2,804.47	$3,788.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,383.07 / $2,743.73 / $4,555.97	Professional		$1,383.07	$2,743.73	$4,555.97
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 $1,477.81 / $2,123.36 / $4,110.80	Professional		$1,477.81	$2,123.36	$4,110.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $955.70 / $1,051.27 / $1,337.98	Professional		$955.70	$1,051.27	$1,337.98