Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,375.17 / $9,859.00	Facility		$100.00	$4,375.17	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.50 / $1,616.96 / $4,375.17	Professional		$1,137.50	$1,616.96	$4,375.17
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 $1,334.06 / $2,083.69 / $3,147.79	Professional		$1,334.06	$2,083.69	$3,147.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,397.40 / $2,304.57 / $3,608.96	Professional		$1,397.40	$2,304.57	$3,608.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,220.88 / $2,421.98 / $4,021.70	Professional		$1,220.88	$2,421.98	$4,021.70
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 $1,510.91 / $1,936.92 / $3,608.76	Professional		$1,510.91	$1,936.92	$3,608.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $863.03 / $949.33 / $1,208.24	Professional		$863.03	$949.33	$1,208.24