Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,011.12 / $9,859.00	Facility		$100.00	$4,011.12	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,044.24 / $1,309.35 / $4,011.12	Professional		$1,044.24	$1,309.35	$4,011.12
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 $1,350.02 / $2,133.48 / $3,074.98	Professional		$1,350.02	$2,133.48	$3,074.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,663.94 / $2,874.47 / $4,572.24	Professional		$1,663.94	$2,874.47	$4,572.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,508.36 / $2,798.42 / $5,201.49	Professional		$1,508.36	$2,798.42	$5,201.49
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 $1,791.78 / $3,026.26 / $5,581.02	Professional		$1,791.78	$3,026.26	$5,581.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $936.64 / $1,189.96 / $1,427.95	Professional		$936.64	$1,189.96	$1,427.95