Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,374.92 / $9,859.00	Facility		$100.00	$2,374.92	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,386.91 / $1,475.71 / $1,836.10	Professional		$1,386.91	$1,475.71	$1,836.10
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 $1,383.78 / $2,372.92 / $3,537.07	Professional		$1,383.78	$2,372.92	$3,537.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,596.46 / $1,596.46 / $1,596.46	Facility		$1,596.46	$1,596.46	$1,596.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,816.13 / $2,686.87 / $4,197.68	Professional		$1,816.13	$2,686.87	$4,197.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,584.14 / $2,492.17 / $4,889.45	Professional		$1,584.14	$2,492.17	$4,889.45
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 $1,621.96 / $2,194.69 / $4,883.43	Professional		$1,621.96	$2,194.69	$4,883.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,132.69 / $1,245.96 / $1,585.77	Professional		$1,132.69	$1,245.96	$1,585.77