Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,657.87 / $9,859.00	Facility		$100.00	$4,657.87	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,196.74 / $2,046.74 / $4,657.87	Professional		$1,196.74	$2,046.74	$4,657.87
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 $1,378.23 / $2,249.03 / $3,485.52	Professional		$1,378.23	$2,249.03	$3,485.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,508.73 / $2,554.21 / $3,893.00	Professional		$1,508.73	$2,554.21	$3,893.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,317.90 / $2,614.44 / $4,341.29	Professional		$1,317.90	$2,614.44	$4,341.29
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 $1,538.73 / $2,089.46 / $4,087.64	Professional		$1,538.73	$2,089.46	$4,087.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $931.32 / $1,024.45 / $1,303.84	Professional		$931.32	$1,024.45	$1,303.84