Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,248.82 / $9,859.00	Facility		$100.00	$4,248.82	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.46 / $1,341.04 / $4,248.82	Professional		$1,001.46	$1,341.04	$4,248.82
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 $1,294.25 / $2,034.84 / $2,973.84	Professional		$1,294.25	$2,034.84	$2,973.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,476.89 / $2,454.82 / $3,513.49	Professional		$1,476.89	$2,454.82	$3,513.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,287.90 / $2,554.94 / $4,242.47	Professional		$1,287.90	$2,554.94	$4,242.47
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 $1,571.33 / $2,024.96 / $3,521.27	Professional		$1,571.33	$2,024.96	$3,521.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $909.15 / $1,000.07 / $1,272.81	Professional		$909.15	$1,000.07	$1,272.81