Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,960.97 / $9,859.00	Facility		$100.00	$4,960.97	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.09 / $1,771.12 / $4,960.97	Professional		$1,262.09	$1,771.12	$4,960.97
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 $1,487.12 / $2,329.14 / $3,522.06	Professional		$1,487.12	$2,329.14	$3,522.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,563.84 / $2,525.59 / $4,034.28	Professional		$1,563.84	$2,525.59	$4,034.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,366.04 / $2,709.95 / $4,499.87	Professional		$1,366.04	$2,709.95	$4,499.87
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 $1,605.34 / $2,159.94 / $4,860.22	Professional		$1,605.34	$2,159.94	$4,860.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $962.69 / $1,058.96 / $1,347.77	Professional		$962.69	$1,058.96	$1,347.77