Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,343.26 / $9,859.00	Facility		$100.00	$4,343.26	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,053.70 / $1,388.32 / $4,343.26	Professional		$1,053.70	$1,388.32	$4,343.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,335.55 / $2,157.21 / $3,155.10	Professional		$1,335.55	$2,157.21	$3,155.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,597.98 / $2,625.49 / $3,741.35	Professional		$1,597.98	$2,625.49	$3,741.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,366.41 / $2,710.68 / $4,501.09	Professional		$1,366.41	$2,710.68	$4,501.09
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,020.31 / $2,105.06 / $3,660.55	Professional		$1,020.31	$2,105.06	$3,660.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $951.37 / $1,046.51 / $1,331.92	Professional		$951.37	$1,046.51	$1,331.92