Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,820.37 / $8,965.00	Facility		$100.00	$5,820.37	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,726.57 / $1,726.57 / $5,820.37	Professional		$1,726.57	$1,726.57	$5,820.37
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 $1,996.02 / $2,894.59 / $4,280.26	Professional		$1,996.02	$2,894.59	$4,280.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,206.23 / $3,606.20 / $5,223.14	Professional		$2,206.23	$3,606.20	$5,223.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,936.67 / $3,841.97 / $6,379.58	Professional		$1,936.67	$3,841.97	$6,379.58
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 $2,217.84 / $3,004.89 / $5,186.89	Professional		$2,217.84	$3,004.89	$5,186.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,340.21 / $1,474.23 / $1,876.29	Professional		$1,340.21	$1,474.23	$1,876.29