Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,067.00 / $6,124.06	Facility		$100.00	$6,067.00	$6,124.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,373.83 / $1,575.09 / $6,124.06	Professional		$1,373.83	$1,575.09	$6,124.06
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 $2,085.58 / $3,122.64 / $4,572.31	Professional		$2,085.58	$3,122.64	$4,572.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,252.94 / $3,690.36 / $5,267.63	Professional		$2,252.94	$3,690.36	$5,267.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,920.01 / $3,808.92 / $6,324.70	Professional		$1,920.01	$3,808.92	$6,324.70
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 $2,363.71 / $3,468.23 / $6,899.47	Professional		$2,363.71	$3,468.23	$6,899.47
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,371.90 / $1,509.09 / $1,920.66	Professional		$1,371.90	$1,509.09	$1,920.66