Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,080.14 / $4,172.89	Facility		$100.00	$2,080.14	$4,172.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,126.55 / $1,209.77 / $1,610.69	Professional		$1,126.55	$1,209.77	$1,610.69
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 $1,215.90 / $2,085.05 / $3,167.92	Professional		$1,215.90	$2,085.05	$3,167.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,398.29 / $1,398.29 / $1,398.29	Facility		$1,398.29	$1,398.29	$1,398.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.70 / $2,336.98 / $3,651.08	Professional		$1,590.70	$2,336.98	$3,651.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,391.96 / $2,283.65 / $4,296.28	Professional		$1,391.96	$2,283.65	$4,296.28
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 $1,419.06 / $2,045.66 / $3,459.06	Professional		$1,419.06	$2,045.66	$3,459.06
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $985.49 / $1,084.04 / $1,379.69	Professional		$985.49	$1,084.04	$1,379.69