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 / $4,212.21	Facility		$100.00	$2,331.21	$4,212.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,208.79 / $1,390.87 / $1,820.08	Professional		$1,208.79	$1,390.87	$1,820.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,534.28 / $9,157.56 / $15,965.24	Facility		$3,534.28	$9,157.56	$15,965.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,307.11 / $2,250.96 / $3,302.82	Professional		$1,307.11	$2,250.96	$3,302.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,504.93 / $1,504.93 / $1,504.93	Facility		$1,504.93	$1,504.93	$1,504.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,610.84 / $2,289.27 / $3,574.36	Professional		$1,610.84	$2,289.27	$3,574.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,496.38 / $2,354.10 / $4,618.58	Professional		$1,496.38	$2,354.10	$4,618.58
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,496.38 / $1,792.96 / $3,770.60	Professional		$1,496.38	$1,792.96	$3,770.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,018.42 / $1,120.26 / $1,425.79	Professional		$1,018.42	$1,120.26	$1,425.79