Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,210.17 / $9,859.00	Facility		$100.00	$4,210.17	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.19 / $1,243.73 / $4,210.17	Professional		$1,151.19	$1,243.73	$4,210.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,050.00	Facility		$8,992.79	$9,992.00	$19,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,284.30 / $1,919.00 / $2,830.04	Professional		$1,284.30	$1,919.00	$2,830.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,455.06 / $2,403.21 / $3,454.39	Professional		$1,455.06	$2,403.21	$3,454.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,280.50 / $2,540.26 / $4,218.10	Professional		$1,280.50	$2,540.26	$4,218.10
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,560.61 / $2,034.66 / $3,512.13	Professional		$1,560.61	$2,034.66	$3,512.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $905.68 / $996.25 / $1,267.95	Professional		$905.68	$996.25	$1,267.95