Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,000.40 / $9,859.00	Facility		$100.00	$4,000.40	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,134.81 / $1,206.73 / $3,269.29	Professional		$1,134.81	$1,206.73	$3,269.29
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 $1,280.59 / $2,014.38 / $3,474.16	Professional		$1,280.59	$2,014.38	$3,474.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,656.04 / $2,322.05 / $3,167.88	Professional		$1,656.04	$2,322.05	$3,167.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,612.62 / $2,633.49 / $5,215.95	Professional		$1,612.62	$2,633.49	$5,215.95
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 $1,385.09 / $1,868.52 / $3,747.27	Professional		$1,385.09	$1,868.52	$3,747.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,006.41 / $1,107.05 / $1,408.97	Professional		$1,006.41	$1,107.05	$1,408.97