Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,058.95 / $9,859.00	Facility		$100.00	$4,058.95	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,139.25 / $1,218.51 / $3,212.40	Professional		$1,139.25	$1,218.51	$3,212.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,263.45 / $1,987.41 / $3,427.65	Professional		$1,263.45	$1,987.41	$3,427.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,623.94 / $2,300.08 / $3,101.97	Professional		$1,623.94	$2,300.08	$3,101.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,591.03 / $2,598.23 / $5,146.10	Professional		$1,591.03	$2,598.23	$5,146.10
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,498.84 / $1,860.18 / $3,730.54	Professional		$1,498.84	$1,860.18	$3,730.54
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,000.50 / $1,100.55 / $1,400.70	Professional		$1,000.50	$1,100.55	$1,400.70