Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,379.03 / $9,859.00	Facility		$100.00	$4,379.03	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.81 / $1,216.64 / $2,767.33	Professional		$1,072.81	$1,216.64	$2,767.33
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 $1,092.66 / $1,718.76 / $2,964.31	Professional		$1,092.66	$1,718.76	$2,964.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.43 / $1,984.44 / $2,641.45	Professional		$1,389.43	$1,984.44	$2,641.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,375.96 / $2,247.02 / $4,450.47	Professional		$1,375.96	$2,247.02	$4,450.47
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 $1,488.66 / $1,734.74 / $3,368.71	Professional		$1,488.66	$1,734.74	$3,368.71
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $911.33 / $1,093.59 / $1,583.24	Professional		$911.33	$1,093.59	$1,583.24