Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,686.38 / $3,407.51	Facility		$100.00	$1,686.38	$3,407.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $848.47 / $934.77 / $1,314.65	Professional		$848.47	$934.77	$1,314.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $987.86 / $1,694.00 / $2,621.15	Professional		$987.86	$1,694.00	$2,621.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.59 / $1,137.59 / $1,137.59	Facility		$1,137.59	$1,137.59	$1,137.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.43 / $1,890.37 / $2,953.32	Professional		$1,241.43	$1,890.37	$2,953.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,130.90 / $1,855.35 / $3,490.52	Professional		$1,130.90	$1,855.35	$3,490.52
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 $1,075.75 / $1,546.48 / $2,851.10	Professional		$1,075.75	$1,546.48	$2,851.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $792.83 / $872.11 / $1,109.96	Professional		$792.83	$872.11	$1,109.96