Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,926.42 / $9,859.00	Facility		$100.00	$4,926.42	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,255.69 / $1,758.83 / $4,926.42	Professional		$1,255.69	$1,758.83	$4,926.42
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 $1,479.17 / $2,317.07 / $3,501.04	Professional		$1,479.17	$2,317.07	$3,501.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,554.64 / $2,511.69 / $4,012.11	Professional		$1,554.64	$2,511.69	$4,012.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,357.89 / $2,693.78 / $4,473.03	Professional		$1,357.89	$2,693.78	$4,473.03
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 $1,676.10 / $2,149.62 / $4,005.05	Professional		$1,676.10	$2,149.62	$4,005.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $958.08 / $1,053.89 / $1,341.31	Professional		$958.08	$1,053.89	$1,341.31