Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,202.26	Facility		$1,000.00	$1,000.00	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,995.26	Professional		$851.14	$1,000.00	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,905.46 / $2,187.76	Facility		$1,778.28	$1,905.46	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,513.56	Facility		$1,288.25	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,513.56	Professional		$1,096.48	$1,096.48	$1,513.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,691.53	Professional		$1,548.82	$1,548.82	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,174.90 / $1,318.26	Facility		$537.03	$1,174.90	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,548.82	Professional		$691.83	$933.25	$1,548.82
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,511.89	Facility		$1,584.89	$1,584.89	$2,511.89