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 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.60 / $862.02 / $1,121.86	Professional		$782.60	$862.02	$1,121.86
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 $842.30 / $1,409.55 / $2,152.98	Professional		$842.30	$1,409.55	$2,152.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $968.65 / $2,000.36 / $2,070.38	Facility		$968.65	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.49 / $1,611.00 / $2,561.03	Professional		$1,108.49	$1,611.00	$2,561.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $964.26 / $1,581.96 / $2,976.19	Professional		$964.26	$1,581.96	$2,976.19
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 $1,012.47 / $1,438.32 / $2,641.18	Professional		$1,012.47	$1,438.32	$2,641.18
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $696.93 / $766.62 / $975.70	Professional		$696.93	$766.62	$975.70