Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,437.39 / $9,859.00	Facility		$100.00	$4,437.39	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,157.08 / $1,640.81 / $2,139.07	Professional		$1,157.08	$1,640.81	$2,139.07
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 $1,364.59 / $2,130.75 / $3,217.49	Professional		$1,364.59	$2,130.75	$3,217.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.28 / $2,371.11 / $3,688.98	Professional		$1,428.28	$2,371.11	$3,688.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,247.91 / $2,475.60 / $4,110.74	Professional		$1,247.91	$2,475.60	$4,110.74
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 $1,544.06 / $1,900.38 / $3,773.93	Professional		$1,544.06	$1,900.38	$3,773.93
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $881.95 / $970.15 / $1,234.73	Professional		$881.95	$970.15	$1,234.73