Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,159.85 / $9,859.00	Facility		$100.00	$4,159.85	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.81 / $1,967.07 / $4,159.85	Professional		$1,045.81	$1,967.07	$4,159.85
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 $1,174.48 / $1,913.92 / $2,967.44	Professional		$1,174.48	$1,913.92	$2,967.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,284.66 / $2,073.46 / $3,312.09	Professional		$1,284.66	$2,073.46	$3,312.09
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 $1,253.41 / $1,706.74 / $3,477.74	Professional		$1,253.41	$1,706.74	$3,477.74
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $792.54 / $871.79 / $1,109.56	Professional		$792.54	$871.79	$1,109.56