Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,284.20 / $9,859.00	Facility		$100.00	$4,284.20	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,131.58 / $1,626.84 / $4,284.20	Professional		$1,131.58	$1,626.84	$4,284.20
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 $1,333.64 / $2,081.79 / $3,145.89	Professional		$1,333.64	$2,081.79	$3,145.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,396.54 / $2,386.48 / $3,607.85	Professional		$1,396.54	$2,386.48	$3,607.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,220.14 / $2,420.51 / $4,019.26	Professional		$1,220.14	$2,420.51	$4,019.26
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 $1,509.95 / $1,858.40 / $3,606.46	Professional		$1,509.95	$1,858.40	$3,606.46
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $862.47 / $948.72 / $1,207.46	Professional		$862.47	$948.72	$1,207.46