Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,764.10 / $9,859.00	Facility		$100.00	$3,764.10	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.29 / $1,348.71 / $4,574.14	Professional		$1,248.29	$1,348.71	$4,574.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,403.35 / $2,072.46 / $3,055.93	Professional		$1,403.35	$2,072.46	$3,055.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,570.91 / $2,609.10 / $3,729.84	Professional		$1,570.91	$2,609.10	$3,729.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,382.70 / $2,743.00 / $4,554.75	Professional		$1,382.70	$2,743.00	$4,554.75
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 $1,711.19 / $2,204.27 / $3,804.90	Professional		$1,711.19	$2,204.27	$3,804.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $981.20 / $1,177.44 / $1,730.84	Professional		$981.20	$1,177.44	$1,730.84