Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,587.71 / $9,859.00	Facility		$100.00	$5,587.71	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,311.50 / $1,763.28 / $5,587.71	Professional		$1,311.50	$1,763.28	$5,587.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,699.05 / $2,634.26 / $3,850.26	Professional		$1,699.05	$2,634.26	$3,850.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,906.54 / $3,164.06 / $4,532.54	Professional		$1,906.54	$3,164.06	$4,532.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,667.46 / $3,307.91 / $5,492.78	Professional		$1,667.46	$3,307.91	$5,492.78
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 $2,060.57 / $2,853.09 / $5,932.66	Professional		$2,060.57	$2,853.09	$5,932.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,183.35 / $1,301.70 / $1,656.70	Professional		$1,183.35	$1,301.70	$1,656.70