Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,521.18 / $9,859.00	Facility		$100.00	$4,521.18	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.64 / $1,430.59 / $4,521.18	Professional		$1,066.64	$1,430.59	$4,521.18
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 $1,377.24 / $2,167.65 / $3,167.94	Professional		$1,377.24	$2,167.65	$3,167.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,575.76 / $2,766.11 / $3,746.48	Professional		$1,575.76	$2,766.11	$3,746.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,371.96 / $2,721.69 / $4,519.37	Professional		$1,371.96	$2,721.69	$4,519.37
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 $1,683.85 / $2,937.18 / $6,469.14	Professional		$1,683.85	$2,937.18	$6,469.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $969.62 / $1,066.58 / $1,357.47	Professional		$969.62	$1,066.58	$1,357.47