Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,341.64 / $6,067.00	Facility		$100.00	$2,341.64	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.90 / $1,199.95 / $1,467.57	Professional		$1,059.90	$1,199.95	$1,467.57
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 $1,025.20 / $1,788.84 / $2,767.89	Professional		$1,025.20	$1,788.84	$2,767.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,155.38 / $2,862.32 / $2,962.50	Facility		$1,155.38	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,259.42 / $1,957.72 / $3,090.73	Professional		$1,259.42	$1,957.72	$3,090.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,150.15 / $2,044.05 / $3,549.94	Professional		$1,150.15	$2,044.05	$3,549.94
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 $1,082.49 / $1,628.00 / $3,047.24	Professional		$1,082.49	$1,628.00	$3,047.24
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $810.42 / $891.46 / $1,134.58	Professional		$810.42	$891.46	$1,134.58