Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,739.41 / $9,859.00	Facility		$100.00	$3,739.41	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,142.98 / $1,550.57 / $3,739.41	Professional		$1,142.98	$1,550.57	$3,739.41
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 $1,348.61 / $2,167.23 / $3,176.54	Professional		$1,348.61	$2,167.23	$3,176.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,450.79 / $2,362.96 / $3,415.28	Professional		$1,450.79	$2,362.96	$3,415.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,285.31 / $2,549.80 / $4,233.93	Professional		$1,285.31	$2,549.80	$4,233.93
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,418.33 / $1,943.55 / $4,393.84	Professional		$1,418.33	$1,943.55	$4,393.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $877.15 / $964.87 / $1,228.01	Professional		$877.15	$964.87	$1,228.01