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 $1,426.67 / $1,621.17 / $1,975.98	Professional		$1,426.67	$1,621.17	$1,975.98
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 $1,342.06 / $2,311.11 / $3,561.83	Professional		$1,342.06	$2,311.11	$3,561.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.17 / $2,000.36 / $2,070.38	Facility		$1,551.17	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,693.55 / $2,369.53 / $3,778.30	Professional		$1,693.55	$2,369.53	$3,778.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,536.37 / $2,520.57 / $4,742.01	Professional		$1,536.37	$2,520.57	$4,742.01
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 $1,511.62 / $2,049.51 / $3,985.74	Professional		$1,511.62	$2,049.51	$3,985.74
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,080.98 / $1,189.08 / $1,513.37	Professional		$1,080.98	$1,189.08	$1,513.37