Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,666.68 / $6,067.00	Facility		$100.00	$4,666.68	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,184.36 / $1,662.41 / $4,666.68	Professional		$1,184.36	$1,662.41	$4,666.68
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 $1,395.95 / $2,179.71 / $3,292.92	Professional		$1,395.95	$2,179.71	$3,292.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,461.65 / $2,365.53 / $3,773.67	Professional		$1,461.65	$2,365.53	$3,773.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,277.16 / $2,533.63 / $4,207.09	Professional		$1,277.16	$2,533.63	$4,207.09
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 $1,580.59 / $2,026.25 / $7,414.65	Professional		$1,580.59	$2,026.25	$7,414.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $902.82 / $1,083.38 / $1,679.83	Professional		$902.82	$1,083.38	$1,679.83