Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,668.46 / $9,859.00	Facility		$100.00	$3,668.46	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,997.11 / $2,175.55 / $3,415.93	Professional		$1,997.11	$2,175.55	$3,415.93
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 $2,148.78 / $3,579.94 / $5,492.47	Professional		$2,148.78	$3,579.94	$5,492.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,486.26 / $2,486.26 / $2,486.26	Facility		$2,486.26	$2,486.26	$2,486.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,805.29 / $4,152.91 / $6,488.09	Professional		$2,805.29	$4,152.91	$6,488.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,459.90 / $4,035.71 / $7,592.48	Professional		$2,459.90	$4,035.71	$7,592.48
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 $2,510.39 / $3,419.35 / $6,711.94	Professional		$2,510.39	$3,419.35	$6,711.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,757.20 / $1,932.92 / $2,460.08	Professional		$1,757.20	$1,932.92	$2,460.08