Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,607.05 / $9,859.00	Facility		$100.00	$5,607.05	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,626.72 / $2,458.71 / $5,607.05	Professional		$1,626.72	$2,458.71	$5,607.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,133.37 / $3,438.42 / $5,029.76	Professional		$2,133.37	$3,438.42	$5,029.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,293.91 / $3,743.89 / $5,410.11	Professional		$2,293.91	$3,743.89	$5,410.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,035.17 / $4,037.37 / $6,704.05	Professional		$2,035.17	$4,037.37	$6,704.05
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 $2,205.82 / $3,645.30 / $12,695.09	Professional		$2,205.82	$3,645.30	$12,695.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,395.99 / $1,535.59 / $1,954.39	Professional		$1,395.99	$1,535.59	$1,954.39