Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,310.01 / $9,859.00	Facility		$100.00	$4,310.01	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.67 / $1,105.34 / $4,310.01	Professional		$961.67	$1,105.34	$4,310.01
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 $1,492.74 / $2,318.42 / $3,399.48	Professional		$1,492.74	$2,318.42	$3,399.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,662.85 / $2,730.90 / $3,902.53	Professional		$1,662.85	$2,730.90	$3,902.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,427.51 / $2,831.89 / $4,702.35	Professional		$1,427.51	$2,831.89	$4,702.35
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 $1,695.56 / $2,140.27 / $5,078.93	Professional		$1,695.56	$2,140.27	$5,078.93
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,006.46 / $1,107.10 / $1,409.04	Professional		$1,006.46	$1,107.10	$1,409.04