Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,152.52 / $9,859.00	Facility		$100.00	$4,152.52	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.68 / $1,254.14 / $3,383.80	Professional		$1,179.68	$1,254.14	$3,383.80
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 $1,326.85 / $2,087.13 / $3,599.64	Professional		$1,326.85	$2,087.13	$3,599.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,715.47 / $2,410.36 / $3,281.73	Professional		$1,715.47	$2,410.36	$3,281.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,670.87 / $2,728.61 / $5,404.34	Professional		$1,670.87	$2,728.61	$5,404.34
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 $1,534.71 / $2,051.88 / $3,889.14	Professional		$1,534.71	$2,051.88	$3,889.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,044.44 / $1,148.88 / $1,462.22	Professional		$1,044.44	$1,148.88	$1,462.22