Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,816.09 / $6,067.00	Facility		$100.00	$3,816.09	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.58 / $1,355.69 / $3,816.09	Professional		$961.58	$1,355.69	$3,816.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,133.32 / $1,772.78 / $2,679.00	Professional		$1,133.32	$1,772.78	$2,679.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,189.46 / $1,922.38 / $3,070.75	Professional		$1,189.46	$1,922.38	$3,070.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,039.06 / $2,061.29 / $3,422.77	Professional		$1,039.06	$2,061.29	$3,422.77
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,283.45 / $1,857.40 / $3,185.03	Professional		$1,283.45	$1,857.40	$3,185.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $733.30 / $806.63 / $1,026.61	Professional		$733.30	$806.63	$1,026.61