Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,823.64 / $3,591.51	Facility		$100.00	$1,823.64	$3,591.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.97 / $1,047.13 / $1,419.85	Professional		$965.97	$1,047.13	$1,419.85
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 $1,065.17 / $1,826.57 / $2,722.67	Professional		$1,065.17	$1,826.57	$2,722.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.95 / $1,224.95 / $1,224.95	Facility		$1,224.95	$1,224.95	$1,224.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,394.54 / $2,060.92 / $3,219.78	Professional		$1,394.54	$2,060.92	$3,219.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,219.40 / $2,000.55 / $3,763.68	Professional		$1,219.40	$2,000.55	$3,763.68
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 $1,245.96 / $1,549.64 / $3,104.52	Professional		$1,245.96	$1,549.64	$3,104.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $881.01 / $969.11 / $1,233.41	Professional		$881.01	$969.11	$1,233.41