Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,353.73 / $9,859.00	Facility		$100.00	$2,353.73	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.18 / $1,457.49 / $1,824.11	Professional		$1,350.18	$1,457.49	$1,824.11
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 $1,370.52 / $2,350.19 / $3,503.17	Professional		$1,370.52	$2,350.19	$3,503.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,579.28 / $1,579.28 / $1,579.28	Facility		$1,579.28	$1,579.28	$1,579.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,799.92 / $2,660.82 / $4,156.97	Professional		$1,799.92	$2,660.82	$4,156.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,568.96 / $2,468.29 / $4,842.60	Professional		$1,568.96	$2,468.29	$4,842.60
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 $1,608.38 / $2,186.73 / $4,004.35	Professional		$1,608.38	$2,186.73	$4,004.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,129.58 / $1,355.51 / $1,992.60	Professional		$1,129.58	$1,355.51	$1,992.60