Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,145.83 / $9,859.00	Facility		$100.00	$4,145.83	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.97 / $1,227.58 / $3,367.39	Professional		$1,162.97	$1,227.58	$3,367.39
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 $1,319.41 / $2,075.44 / $3,579.47	Professional		$1,319.41	$2,075.44	$3,579.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,707.29 / $2,404.46 / $3,265.26	Professional		$1,707.29	$2,404.46	$3,265.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,661.50 / $2,713.31 / $5,374.03	Professional		$1,661.50	$2,713.31	$5,374.03
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 $1,547.00 / $1,929.02 / $3,868.59	Professional		$1,547.00	$1,929.02	$3,868.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,038.99 / $1,142.89 / $1,454.59	Professional		$1,038.99	$1,142.89	$1,454.59