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 / $8,965.00	Facility		$100.00	$2,331.21	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,458.01 / $1,522.24 / $1,772.79	Professional		$1,458.01	$1,522.24	$1,772.79
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 $1,270.89 / $2,188.57 / $3,372.97	Professional		$1,270.89	$2,188.57	$3,372.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,351.93 / $1,470.59	Facility		$1,306.21	$1,351.93	$1,470.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,606.50 / $2,296.79 / $3,776.35	Professional		$1,606.50	$2,296.79	$3,776.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,454.91 / $2,386.92 / $4,490.58	Professional		$1,454.91	$2,386.92	$4,490.58
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 $1,476.91 / $2,067.44 / $3,880.99	Professional		$1,476.91	$2,067.44	$3,880.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,025.02 / $1,127.52 / $1,435.03	Professional		$1,025.02	$1,127.52	$1,435.03