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 / $6,067.00	Facility		$100.00	$2,331.21	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,046.00 / $1,199.95 / $1,689.65	Professional		$1,046.00	$1,199.95	$1,689.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $991.42 / $1,707.30 / $2,631.25	Professional		$991.42	$1,707.30	$2,631.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.13 / $1,751.69 / $1,812.99	Facility		$1,140.13	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,253.15 / $1,755.02 / $2,783.30	Professional		$1,253.15	$1,755.02	$2,783.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,134.97 / $1,862.03 / $3,503.08	Professional		$1,134.97	$1,862.03	$3,503.08
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,143.04 / $1,605.75 / $7,195.93	Professional		$1,143.04	$1,605.75	$7,195.93
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $797.56 / $877.32 / $1,116.58	Professional		$797.56	$877.32	$1,116.58