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 / $4,733.99	Facility		$100.00	$2,331.21	$4,733.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,416.46 / $1,510.67 / $1,992.31	Professional		$1,416.46	$1,510.67	$1,992.31
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 $1,427.45 / $2,458.17 / $3,606.86	Professional		$1,427.45	$2,458.17	$3,606.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,644.17 / $1,644.17 / $1,644.17	Facility		$1,644.17	$1,644.17	$1,644.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,756.70 / $2,497.53 / $3,908.97	Professional		$1,756.70	$2,497.53	$3,908.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,634.13 / $2,570.81 / $5,043.74	Professional		$1,634.13	$2,570.81	$5,043.74
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 $1,559.72 / $1,954.49 / $4,123.59	Professional		$1,559.72	$1,954.49	$4,123.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,113.06 / $1,224.36 / $1,558.28	Professional		$1,113.06	$1,224.36	$1,558.28