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 / $14,929.00	Facility		$100.00	$2,331.21	$14,929.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.05 / $1,589.45 / $1,927.67	Professional		$1,171.05	$1,589.45	$1,927.67
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 $2,054.29 / $3,125.65 / $4,604.07	Professional		$2,054.29	$3,125.65	$4,604.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,213.71 / $3,652.60 / $5,232.85	Professional		$2,213.71	$3,652.60	$5,232.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,933.34 / $3,835.36 / $6,368.62	Professional		$1,933.34	$3,835.36	$6,368.62
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 $2,340.83 / $3,416.53 / $6,878.63	Professional		$2,340.83	$3,416.53	$6,878.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,345.76 / $1,480.34 / $1,884.06	Professional		$1,345.76	$1,480.34	$1,884.06