Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,310.69 / $9,859.00	Facility		$100.00	$5,310.69	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,302.75 / $1,596.70 / $2,882.22	Professional		$1,302.75	$1,596.70	$2,882.22
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 $1,137.95 / $1,789.99 / $3,087.17	Professional		$1,137.95	$1,789.99	$3,087.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,497.42 / $2,065.94 / $3,082.62	Professional		$1,497.42	$2,065.94	$3,082.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,432.99 / $2,340.14 / $4,634.95	Professional		$1,432.99	$2,340.14	$4,634.95
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 $1,618.62 / $1,940.09 / $3,483.98	Professional		$1,618.62	$1,940.09	$3,483.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,027.33 / $1,260.82 / $1,699.56	Professional		$1,027.33	$1,260.82	$1,699.56