Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,835.39 / $9,859.00	Facility		$100.00	$3,835.39	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,057.03 / $1,136.24 / $3,835.39	Professional		$1,057.03	$1,136.24	$3,835.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,402.07 / $16,742.15 / $24,290.01	Facility		$8,402.07	$16,742.15	$24,290.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,171.96 / $1,769.43 / $2,606.63	Professional		$1,171.96	$1,769.43	$2,606.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.19 / $2,216.00 / $3,187.19	Professional		$1,341.19	$2,216.00	$3,187.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,179.41 / $2,339.71 / $3,885.09	Professional		$1,179.41	$2,339.71	$3,885.09
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 $1,375.71 / $1,794.24 / $4,196.22	Professional		$1,375.71	$1,794.24	$4,196.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $832.34 / $915.57 / $1,165.28	Professional		$832.34	$915.57	$1,165.28