Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,287.35 / $9,859.00	Facility		$100.00	$4,287.35	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,234.56 / $1,646.70 / $4,287.35	Professional		$1,234.56	$1,646.70	$4,287.35
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 $1,483.77 / $2,341.86 / $3,535.42	Professional		$1,483.77	$2,341.86	$3,535.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,559.56 / $2,537.04 / $4,052.58	Professional		$1,559.56	$2,537.04	$4,052.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,371.22 / $2,720.23 / $4,516.93	Professional		$1,371.22	$2,720.23	$4,516.93
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 $1,517.14 / $2,166.57 / $4,036.62	Professional		$1,517.14	$2,166.57	$4,036.62
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $962.07 / $1,058.28 / $1,346.90	Professional		$962.07	$1,058.28	$1,346.90