Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,186.41 / $9,859.00	Facility		$100.00	$4,186.41	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,150.69 / $1,236.58 / $4,186.41	Professional		$1,150.69	$1,236.58	$4,186.41
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 $1,281.15 / $1,945.04 / $2,864.42	Professional		$1,281.15	$1,945.04	$2,864.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,474.40 / $2,450.65 / $3,505.09	Professional		$1,474.40	$2,450.65	$3,505.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,296.05 / $2,571.10 / $4,269.32	Professional		$1,296.05	$2,571.10	$4,269.32
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,552.03 / $1,845.58 / $4,611.22	Professional		$1,552.03	$1,845.58	$4,611.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $911.88 / $1,065.08 / $1,608.56	Professional		$911.88	$1,065.08	$1,608.56