Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.34 / $1,239.24 / $1,549.18	Professional		$1,123.34	$1,239.24	$1,549.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,207.82 / $2,071.19 / $3,087.30	Professional		$1,207.82	$2,071.19	$3,087.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,391.04 / $2,000.36 / $2,070.38	Facility		$1,391.04	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,497.78 / $2,313.53 / $3,614.42	Professional		$1,497.78	$2,313.53	$3,614.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,382.70 / $2,268.46 / $4,267.70	Professional		$1,382.70	$2,268.46	$4,267.70
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,317.58 / $1,782.44 / $3,336.90	Professional		$1,317.58	$1,782.44	$3,336.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $948.24 / $1,043.06 / $1,327.54	Professional		$948.24	$1,043.06	$1,327.54