Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,590.02 / $9,859.00	Facility		$100.00	$4,590.02	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.02 / $1,458.61 / $4,590.02	Professional		$1,101.02	$1,458.61	$4,590.02
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 $1,399.83 / $2,254.61 / $3,297.90	Professional		$1,399.83	$2,254.61	$3,297.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.98 / $2,741.07 / $3,907.79	Professional		$1,666.98	$2,741.07	$3,907.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,428.25 / $2,833.36 / $4,704.80	Professional		$1,428.25	$2,833.36	$4,704.80
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 $1,718.37 / $2,202.87 / $3,830.63	Professional		$1,718.37	$2,202.87	$3,830.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $994.87 / $1,094.35 / $1,392.82	Professional		$994.87	$1,094.35	$1,392.82