Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,494.48 / $3,764.10	Facility		$100.00	$2,494.48	$3,764.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.94 / $926.55 / $1,288.67	Professional		$681.94	$926.55	$1,288.67
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 $739.39 / $1,215.49 / $1,683.05	Professional		$739.39	$1,215.49	$1,683.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,268.44 / $2,862.32 / $2,962.50	Facility		$1,268.44	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.64 / $1,568.19 / $2,849.31	Professional		$1,043.64	$1,568.19	$2,849.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $918.79 / $1,629.38 / $2,994.65	Professional		$918.79	$1,629.38	$2,994.65
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 $1,140.48 / $1,561.51 / $3,065.13	Professional		$1,140.48	$1,561.51	$3,065.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $596.10 / $810.87 / $973.04	Professional		$596.10	$810.87	$973.04