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 $1,318.50 / $1,449.13 / $1,830.63	Professional		$1,318.50	$1,449.13	$1,830.63
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 $1,239.19 / $2,133.98 / $3,288.84	Professional		$1,239.19	$2,133.98	$3,288.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,432.52 / $2,000.36 / $2,070.38	Facility		$1,432.52	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,565.21 / $2,188.79 / $3,489.07	Professional		$1,565.21	$2,188.79	$3,489.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,418.62 / $2,327.39 / $4,378.57	Professional		$1,418.62	$2,327.39	$4,378.57
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 $1,442.88 / $2,020.11 / $3,680.63	Professional		$1,442.88	$2,020.11	$3,680.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $998.22 / $1,098.04 / $1,397.51	Professional		$998.22	$1,098.04	$1,397.51