Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $6,067.00	Facility		$100.00	$2,331.21	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.32 / $1,361.39 / $1,625.22	Professional		$1,141.32	$1,361.39	$1,625.22
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 $1,184.21 / $2,030.70 / $3,026.95	Professional		$1,184.21	$2,030.70	$3,026.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,370.78 / $1,751.69 / $1,812.99	Facility		$1,370.78	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.16 / $2,285.77 / $3,633.20	Professional		$1,590.16	$2,285.77	$3,633.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,355.67 / $2,224.11 / $4,184.28	Professional		$1,355.67	$2,224.11	$4,184.28
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 $1,451.82 / $1,953.42 / $3,530.22	Professional		$1,451.82	$1,953.42	$3,530.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,005.86 / $1,106.45 / $1,408.20	Professional		$1,005.86	$1,106.45	$1,408.20