Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,678.80 / $9,859.00	Facility		$100.00	$2,678.80	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,605.16 / $1,672.97 / $2,146.46	Professional		$1,605.16	$1,672.97	$2,146.46
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 $1,397.37 / $2,406.36 / $3,708.63	Professional		$1,397.37	$2,406.36	$3,708.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,616.23 / $2,000.36 / $2,070.38	Facility		$1,616.23	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,764.71 / $2,467.04 / $4,155.17	Professional		$1,764.71	$2,467.04	$4,155.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,599.70 / $2,624.47 / $4,937.47	Professional		$1,599.70	$2,624.47	$4,937.47
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 $1,569.19 / $2,120.76 / $4,154.80	Professional		$1,569.19	$2,120.76	$4,154.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,126.63 / $1,239.29 / $1,577.28	Professional		$1,126.63	$1,239.29	$1,577.28