Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,207.70 / $9,859.00	Facility		$100.00	$5,207.70	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,642.54 / $2,227.12 / $5,207.70	Professional		$1,642.54	$2,227.12	$5,207.70
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 $1,950.86 / $3,107.28 / $4,546.55	Professional		$1,950.86	$3,107.28	$4,546.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,072.38 / $3,383.53 / $4,886.37	Professional		$2,072.38	$3,383.53	$4,886.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,839.65 / $3,649.50 / $6,059.99	Professional		$1,839.65	$3,649.50	$6,059.99
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 $2,008.16 / $2,847.13 / $4,810.51	Professional		$2,008.16	$2,847.13	$4,810.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,262.13 / $1,388.34 / $1,766.98	Professional		$1,262.13	$1,388.34	$1,766.98