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 / $11,351.00	Facility		$100.00	$2,331.21	$11,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.05 / $1,793.80 / $1,793.80	Professional		$1,068.05	$1,793.80	$1,793.80
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 $1,814.68 / $3,275.30 / $5,234.93	Professional		$1,814.68	$3,275.30	$5,234.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,154.46 / $4,303.24 / $6,294.50	Professional		$3,154.46	$4,303.24	$6,294.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,974.17 / $3,827.40 / $6,819.32	Professional		$1,974.17	$3,827.40	$6,819.32
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,889.89 / $3,056.15 / $6,620.05	Professional		$1,889.89	$3,056.15	$6,620.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,353.66 / $1,489.03 / $1,895.12	Professional		$1,353.66	$1,489.03	$1,895.12