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 / $3,202.12	Facility		$100.00	$2,331.21	$3,202.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.88 / $1,113.95 / $1,363.96	Professional		$973.88	$1,113.95	$1,363.96
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 $984.95 / $1,703.82 / $2,488.75	Professional		$984.95	$1,703.82	$2,488.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.69 / $1,132.69 / $1,132.69	Facility		$1,132.69	$1,132.69	$1,132.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.25 / $1,725.26 / $2,678.29	Professional		$1,214.25	$1,725.26	$2,678.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,127.56 / $1,773.88 / $3,480.21	Professional		$1,127.56	$1,773.88	$3,480.21
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 $1,067.08 / $1,442.15 / $2,819.86	Professional		$1,067.08	$1,442.15	$2,819.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $764.24 / $840.66 / $1,069.94	Professional		$764.24	$840.66	$1,069.94