Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,634.58 / $9,859.00	Facility		$100.00	$4,634.58	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,257.58 / $1,359.90 / $3,389.49	Professional		$1,257.58	$1,359.90	$3,389.49
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 $1,328.47 / $2,089.67 / $3,604.03	Professional		$1,328.47	$2,089.67	$3,604.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,689.75 / $2,411.88 / $3,219.78	Professional		$1,689.75	$2,411.88	$3,219.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,672.90 / $2,731.94 / $5,410.93	Professional		$1,672.90	$2,731.94	$5,410.93
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 $1,624.10 / $2,027.24 / $4,065.58	Professional		$1,624.10	$2,027.24	$4,065.58
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,085.49 / $1,194.04 / $1,519.69	Professional		$1,085.49	$1,194.04	$1,519.69