Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,398.83 / $9,772.37	Facility		$100.00	$2,398.83	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,344.23 / $2,951.21	Professional		$1,230.27	$2,344.23	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,000.00 / $18,197.01	Facility		$8,912.51	$10,000.00	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,162.28 / $4,897.79	Professional		$2,238.72	$3,162.28	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $2,398.83 / $4,786.30	Professional		$676.08	$2,398.83	$4,786.30
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,981.07	Facility		$2,511.89	$2,511.89	$3,981.07