Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,457.10 / $9,859.00	Facility		$100.00	$5,457.10	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.83 / $1,371.03 / $5,457.10	Professional		$1,176.83	$1,371.03	$5,457.10
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 $1,654.62 / $2,547.67 / $3,731.92	Professional		$1,654.62	$2,547.67	$3,731.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,813.99 / $2,999.68 / $4,280.12	Professional		$1,813.99	$2,999.68	$4,280.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,567.11 / $3,108.83 / $5,162.22	Professional		$1,567.11	$3,108.83	$5,162.22
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,922.13 / $2,623.99 / $4,770.43	Professional		$1,922.13	$2,623.99	$4,770.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,109.99 / $1,220.99 / $1,553.99	Professional		$1,109.99	$1,220.99	$1,553.99