Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,527.34 / $9,859.00	Facility		$100.00	$4,527.34	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,183.35 / $1,632.97 / $4,527.34	Professional		$1,183.35	$1,632.97	$4,527.34
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 $1,394.70 / $2,179.71 / $3,292.92	Professional		$1,394.70	$2,179.71	$3,292.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,461.59 / $2,361.62 / $3,772.36	Professional		$1,461.59	$2,361.62	$3,772.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,277.16 / $2,533.63 / $4,207.09	Professional		$1,277.16	$2,533.63	$4,207.09
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 $1,579.99 / $1,818.68 / $3,773.75	Professional		$1,579.99	$1,818.68	$3,773.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $902.39 / $992.63 / $1,263.34	Professional		$902.39	$992.63	$1,263.34