Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $9,859.00	Facility		$100.00	$100.00	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.40 / $6,534.18 / $7,943.92	Professional		$931.40	$6,534.18	$7,943.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,099.39 / $1,099.39 / $1,099.39	Professional		$1,099.39	$1,099.39	$1,099.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,046.38 / $5,257.46 / $5,441.47	Facility		$1,046.38	$5,257.46	$5,441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,094.20 / $4,094.20 / $4,094.20	Professional		$4,094.20	$4,094.20	$4,094.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $972.41 / $1,529.80 / $3,001.34	Professional		$972.41	$1,529.80	$3,001.34
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.41 / $986.67 / $1,747.68	Professional		$724.41	$986.67	$1,747.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00