Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,290.25 / $9,859.00	Facility		$100.00	$3,290.25	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.53 / $1,377.49 / $3,290.25	Professional		$1,012.53	$1,377.49	$3,290.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,497.60 / $4,516.99 / $7,874.90	Facility		$1,497.60	$4,516.99	$7,874.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.42 / $1,910.86 / $2,798.58	Professional		$1,191.42	$1,910.86	$2,798.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,278.54 / $2,083.32 / $3,012.04	Professional		$1,278.54	$2,083.32	$3,012.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,132.38 / $2,246.42 / $3,730.17	Professional		$1,132.38	$2,246.42	$3,730.17
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,282.01 / $1,984.32 / $4,028.89	Professional		$1,282.01	$1,984.32	$4,028.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $774.31 / $851.74 / $1,084.03	Professional		$774.31	$851.74	$1,084.03