Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,752.81 / $9,859.00	Facility		$100.00	$3,752.81	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.04 / $1,057.18 / $2,969.54	Professional		$1,028.04	$1,057.18	$2,969.54
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 $1,169.97 / $1,840.36 / $3,174.04	Professional		$1,169.97	$1,840.36	$3,174.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,502.66 / $2,129.28 / $2,861.62	Professional		$1,502.66	$2,129.28	$2,861.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,473.32 / $2,405.98 / $4,765.38	Professional		$1,473.32	$2,405.98	$4,765.38
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 $1,326.77 / $1,657.08 / $3,450.02	Professional		$1,326.77	$1,657.08	$3,450.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $924.29 / $1,016.72 / $1,294.01	Professional		$924.29	$1,016.72	$1,294.01