Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,847.45 / $9,859.00	Facility		$100.00	$3,847.45	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.41 / $1,150.14 / $3,319.33	Professional		$1,118.41	$1,150.14	$3,319.33
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 $1,211.70 / $1,905.99 / $3,287.24	Professional		$1,211.70	$1,905.99	$3,287.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,566.57 / $2,207.00 / $2,999.42	Professional		$1,566.57	$2,207.00	$2,999.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,525.85 / $2,491.80 / $4,935.31	Professional		$1,525.85	$2,491.80	$4,935.31
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 $1,471.44 / $1,948.34 / $3,692.89	Professional		$1,471.44	$1,948.34	$3,692.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $988.77 / $1,087.65 / $1,384.28	Professional		$988.77	$1,087.65	$1,384.28