Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,083.26 / $9,859.00	Facility		$100.00	$4,083.26	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.99 / $1,770.33 / $4,083.26	Professional		$1,004.99	$1,770.33	$4,083.26
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 $1,155.67 / $1,884.04 / $2,918.47	Professional		$1,155.67	$1,884.04	$2,918.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,263.49 / $2,143.14 / $3,261.61	Professional		$1,263.49	$2,143.14	$3,261.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,103.49 / $2,189.10 / $3,635.01	Professional		$1,103.49	$2,189.10	$3,635.01
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 $1,365.30 / $2,100.46 / $5,364.24	Professional		$1,365.30	$2,100.46	$5,364.24
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $780.25 / $858.28 / $1,092.34	Professional		$780.25	$858.28	$1,092.34