Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,313.74 / $9,859.00	Facility		$100.00	$3,313.74	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.76 / $1,279.79 / $1,664.84	Professional		$1,163.76	$1,279.79	$1,664.84
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 $1,051.26 / $1,810.35 / $2,790.07	Professional		$1,051.26	$1,810.35	$2,790.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.10 / $2,472.40 / $2,558.92	Facility		$1,224.10	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,364.37 / $2,028.89 / $2,983.96	Professional		$1,364.37	$2,028.89	$2,983.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,203.48 / $1,974.43 / $3,714.54	Professional		$1,203.48	$1,974.43	$3,714.54
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 $1,203.48 / $1,664.14 / $3,147.80	Professional		$1,203.48	$1,664.14	$3,147.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $857.47 / $1,028.96 / $1,624.05	Professional		$857.47	$1,028.96	$1,624.05