Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,447.35 / $9,859.00	Facility		$100.00	$4,447.35	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,220.81 / $1,315.72 / $4,447.35	Professional		$1,220.81	$1,315.72	$4,447.35
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 $1,355.26 / $2,028.14 / $2,991.28	Professional		$1,355.26	$2,028.14	$2,991.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,537.74 / $2,546.46 / $3,650.35	Professional		$1,537.74	$2,546.46	$3,650.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,353.45 / $2,684.97 / $4,458.39	Professional		$1,353.45	$2,684.97	$4,458.39
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 $1,662.84 / $2,068.75 / $4,815.43	Professional		$1,662.84	$2,068.75	$4,815.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $958.98 / $1,054.88 / $1,342.57	Professional		$958.98	$1,054.88	$1,342.57