Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,855.05 / $9,859.00	Facility		$100.00	$6,855.05	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,604.39 / $2,155.66 / $6,855.05	Professional		$1,604.39	$2,155.66	$6,855.05
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 $2,086.69 / $3,275.17 / $4,786.53	Professional		$2,086.69	$3,275.17	$4,786.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.67 / $3,937.62 / $5,639.08	Professional		$2,371.67	$3,937.62	$5,639.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,072.94 / $4,112.30 / $6,828.47	Professional		$2,072.94	$4,112.30	$6,828.47
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 $2,544.84 / $3,523.63 / $5,673.04	Professional		$2,544.84	$3,523.63	$5,673.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,462.23 / $1,608.45 / $2,047.12	Professional		$1,462.23	$1,608.45	$2,047.12