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 $660.69 / $1,318.26 / $2,398.83	Professional		$660.69	$1,318.26	$2,398.83
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 $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
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 / $3,235.94 / $5,011.87	Professional		$2,238.72	$3,235.94	$5,011.87
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 $831.76 / $2,951.21 / $5,754.40	Professional		$831.76	$2,951.21	$5,754.40
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