Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,136.13 / $9,859.00	Facility		$100.00	$4,136.13	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.02 / $1,763.83 / $4,136.13	Professional		$1,021.02	$1,763.83	$4,136.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.48 / $1,913.29 / $2,967.44	Professional		$1,174.48	$1,913.29	$2,967.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,284.53 / $2,187.35 / $3,311.89	Professional		$1,284.53	$2,187.35	$3,311.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,122.01 / $2,225.84 / $3,696.01	Professional		$1,122.01	$2,225.84	$3,696.01
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 $1,310.15 / $1,707.74 / $3,479.80	Professional		$1,310.15	$1,707.74	$3,479.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $792.91 / $872.20 / $1,110.07	Professional		$792.91	$872.20	$1,110.07