Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,496.60 / $9,859.00	Facility		$100.00	$4,496.60	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.86 / $1,480.71 / $4,496.60	Professional		$1,222.86	$1,480.71	$4,496.60
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 $1,440.07 / $2,125.87 / $3,064.01	Professional		$1,440.07	$2,125.87	$3,064.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,695.47 / $2,926.66 / $4,485.10	Professional		$1,695.47	$2,926.66	$4,485.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,537.89 / $2,846.60 / $5,088.34	Professional		$1,537.89	$2,846.60	$5,088.34
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 $1,979.49 / $2,914.96 / $5,458.58	Professional		$1,979.49	$2,914.96	$5,458.58
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,045.53 / $1,307.85 / $1,800.21	Professional		$1,045.53	$1,307.85	$1,800.21