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 $1,239.58 / $1,449.31 / $1,759.17	Professional		$1,239.58	$1,449.31	$1,759.17
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 $1,329.76 / $2,280.30 / $3,399.00	Professional		$1,329.76	$2,280.30	$3,399.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,531.60 / $1,531.60 / $1,531.60	Facility		$1,531.60	$1,531.60	$1,531.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,746.64 / $2,583.40 / $4,036.04	Professional		$1,746.64	$2,583.40	$4,036.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,522.30 / $2,497.48 / $4,698.58	Professional		$1,522.30	$2,497.48	$4,698.58
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 $1,644.15 / $2,322.98 / $4,132.38	Professional		$1,644.15	$2,322.98	$4,132.38
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,087.45 / $1,304.94 / $1,918.26	Professional		$1,087.45	$1,304.94	$1,918.26