Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,802.02 / $9,859.00	Facility		$100.00	$3,802.02	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.45 / $1,447.83 / $3,802.02	Professional		$1,061.45	$1,447.83	$3,802.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $9,734.34 / $16,970.79	Facility		$3,669.00	$9,734.34	$16,970.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,216.54 / $1,947.63 / $2,925.34	Professional		$1,216.54	$1,947.63	$2,925.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.56 / $2,121.17 / $3,388.30	Professional		$1,295.56	$2,121.17	$3,388.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,134.59 / $2,250.82 / $3,737.49	Professional		$1,134.59	$2,250.82	$3,737.49
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 $1,238.53 / $1,931.99 / $3,379.05	Professional		$1,238.53	$1,931.99	$3,379.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $807.46 / $888.21 / $1,130.44	Professional		$807.46	$888.21	$1,130.44