Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,768.27 / $9,859.00	Facility		$100.00	$4,768.27	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,328.61 / $1,417.28 / $3,680.70	Professional		$1,328.61	$1,417.28	$3,680.70
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 $1,448.80 / $2,278.96 / $3,930.49	Professional		$1,448.80	$2,278.96	$3,930.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,858.86 / $2,636.29 / $3,547.03	Professional		$1,858.86	$2,636.29	$3,547.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,824.43 / $2,979.39 / $5,901.03	Professional		$1,824.43	$2,979.39	$5,901.03
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 $1,764.98 / $2,143.67 / $4,299.09	Professional		$1,764.98	$2,143.67	$4,299.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,152.35 / $1,267.59 / $1,613.30	Professional		$1,152.35	$1,267.59	$1,613.30