Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $15,774.00	Facility		$100.00	$2,331.21	$15,774.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,126.83 / $1,339.81 / $1,339.81	Professional		$1,126.83	$1,339.81	$1,339.81
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 $1,718.86 / $2,785.96 / $4,103.18	Professional		$1,718.86	$2,785.96	$4,103.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,977.67 / $3,255.98 / $4,668.22	Professional		$1,977.67	$3,255.98	$4,668.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,723.01 / $3,418.11 / $5,675.77	Professional		$1,723.01	$3,418.11	$5,675.77
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 $2,080.61 / $2,667.25 / $6,130.30	Professional		$2,080.61	$2,667.25	$6,130.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,197.34 / $1,317.09 / $1,676.29	Professional		$1,197.34	$1,317.09	$1,676.29