Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,844.71 / $9,859.00	Facility		$100.00	$5,844.71	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,423.06 / $2,766.48 / $5,844.71	Professional		$1,423.06	$2,766.48	$5,844.71
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 $1,641.63 / $2,671.24 / $4,136.79	Professional		$1,641.63	$2,671.24	$4,136.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,789.78 / $2,896.43 / $4,626.64	Professional		$1,789.78	$2,896.43	$4,626.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,564.15 / $3,102.96 / $5,152.47	Professional		$1,564.15	$3,102.96	$5,152.47
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,829.75 / $2,388.08 / $5,565.09	Professional		$1,829.75	$2,388.08	$5,565.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,108.04 / $1,218.83 / $1,551.26	Professional		$1,108.04	$1,218.83	$1,551.26