Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,464.02 / $9,859.00	Facility		$100.00	$4,464.02	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,078.03 / $1,423.69 / $4,464.02	Professional		$1,078.03	$1,423.69	$4,464.02
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 $1,368.66 / $2,207.96 / $3,227.78	Professional		$1,368.66	$2,207.96	$3,227.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,633.14 / $2,684.77 / $3,827.99	Professional		$1,633.14	$2,684.77	$3,827.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,397.88 / $2,773.11 / $4,604.76	Professional		$1,397.88	$2,773.11	$4,604.76
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 $1,319.72 / $2,328.73 / $4,973.52	Professional		$1,319.72	$2,328.73	$4,973.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $974.05 / $1,071.46 / $1,363.67	Professional		$974.05	$1,071.46	$1,363.67