Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,513.77 / $3,101.21	Facility		$100.00	$1,513.77	$3,101.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.77 / $895.38 / $1,175.33	Professional		$830.77	$895.38	$1,175.33
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 $884.68 / $1,517.05 / $2,261.30	Professional		$884.68	$1,517.05	$2,261.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.38 / $2,862.32 / $2,962.50	Facility		$1,017.38	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,157.58 / $1,705.71 / $2,664.82	Professional		$1,157.58	$1,705.71	$2,664.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,012.77 / $1,661.55 / $3,125.91	Professional		$1,012.77	$1,661.55	$3,125.91
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 $1,033.70 / $1,392.07 / $2,516.23	Professional		$1,033.70	$1,392.07	$2,516.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $716.97 / $788.67 / $1,003.76	Professional		$716.97	$788.67	$1,003.76