Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,960.92 / $9,859.00	Facility		$100.00	$3,960.92	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.57 / $1,693.51 / $3,960.92	Professional		$1,052.57	$1,693.51	$3,960.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,076.01 / $1,767.04 / $2,737.29	Professional		$1,076.01	$1,767.04	$2,737.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,185.83 / $1,995.13 / $3,058.70	Professional		$1,185.83	$1,995.13	$3,058.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,034.99 / $2,053.21 / $3,409.36	Professional		$1,034.99	$2,053.21	$3,409.36
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 $1,274.34 / $1,633.66 / $3,195.93	Professional		$1,274.34	$1,633.66	$3,195.93
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $728.74 / $801.61 / $1,020.24	Professional		$728.74	$801.61	$1,020.24