Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,144.09 / $9,859.00	Facility		$100.00	$4,144.09	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,136.74 / $1,224.76 / $4,144.09	Professional		$1,136.74	$1,224.76	$4,144.09
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 $1,253.56 / $1,866.38 / $2,753.94	Professional		$1,253.56	$1,866.38	$2,753.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,415.21 / $2,372.71 / $3,357.74	Professional		$1,415.21	$2,372.71	$3,357.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,246.06 / $2,471.92 / $4,104.64	Professional		$1,246.06	$2,471.92	$4,104.64
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.11 / $1,669.84 / $4,433.35	Professional		$1,543.11	$1,669.84	$4,433.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $884.40 / $1,061.28 / $1,675.05	Professional		$884.40	$1,061.28	$1,675.05