Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,288.06 / $4,750.54	Facility		$100.00	$2,288.06	$4,750.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.98 / $1,427.69 / $1,778.56	Professional		$1,076.98	$1,427.69	$1,778.56
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 $1,334.62 / $2,246.34 / $3,411.39	Professional		$1,334.62	$2,246.34	$3,411.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,534.81 / $1,534.81 / $1,534.81	Facility		$1,534.81	$1,534.81	$1,534.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,687.11 / $2,590.82 / $4,047.64	Professional		$1,687.11	$2,590.82	$4,047.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,527.86 / $2,506.61 / $4,715.74	Professional		$1,527.86	$2,506.61	$4,715.74
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 $1,490.47 / $2,358.86 / $4,683.35	Professional		$1,490.47	$2,358.86	$4,683.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,104.18 / $1,214.59 / $1,545.85	Professional		$1,104.18	$1,214.59	$1,545.85