Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,527.99 / $9,859.00	Facility		$100.00	$6,527.99	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.61 / $1,874.44 / $1,874.44	Professional		$1,068.61	$1,874.44	$1,874.44
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 $1,688.66 / $3,042.58 / $4,850.60	Professional		$1,688.66	$3,042.58	$4,850.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,416.90 / $3,815.46 / $4,710.72	Professional		$2,416.90	$3,815.46	$4,710.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,776.67 / $3,391.91 / $5,850.19	Professional		$1,776.67	$3,391.91	$5,850.19
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,153.76 / $2,866.65 / $6,209.56	Professional		$2,153.76	$2,866.65	$6,209.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,261.15 / $1,387.27 / $1,765.61	Professional		$1,261.15	$1,387.27	$1,765.61