Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,260.72 / $9,859.00	Facility		$100.00	$4,260.72	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.64 / $1,260.60 / $4,260.72	Professional		$1,145.64	$1,260.60	$4,260.72
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 $1,293.36 / $1,964.98 / $2,893.87	Professional		$1,293.36	$1,964.98	$2,893.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,489.68 / $2,463.28 / $3,541.44	Professional		$1,489.68	$2,463.28	$3,541.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,309.38 / $2,597.55 / $4,313.22	Professional		$1,309.38	$2,597.55	$4,313.22
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 $1,604.48 / $2,250.75 / $4,598.09	Professional		$1,604.48	$2,250.75	$4,598.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $921.01 / $1,013.11 / $1,289.41	Professional		$921.01	$1,013.11	$1,289.41