Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,758.05 / $6,067.00	Facility		$100.00	$2,758.05	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,507.24 / $1,558.89 / $2,175.31	Professional		$1,507.24	$1,558.89	$2,175.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,610.86 / $2,741.97 / $4,117.50	Professional		$1,610.86	$2,741.97	$4,117.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,751.69 / $1,812.99 / $1,857.88	Facility		$1,751.69	$1,812.99	$1,857.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,020.28 / $2,960.20 / $4,912.09	Professional		$2,020.28	$2,960.20	$4,912.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,844.09 / $3,025.41 / $5,691.78	Professional		$1,844.09	$3,025.41	$5,691.78
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,844.09 / $2,525.58 / $4,957.54	Professional		$1,844.09	$2,525.58	$4,957.54
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,302.10 / $1,432.32 / $1,822.95	Professional		$1,302.10	$1,432.32	$1,822.95