Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $11,351.00	Facility		$100.00	$2,331.21	$11,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.36 / $1,106.79 / $1,342.31	Professional		$928.36	$1,106.79	$1,342.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,164.83 / $1,896.77 / $2,901.22	Professional		$1,164.83	$1,896.77	$2,901.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.36 / $2,000.36 / $2,070.38	Facility		$2,000.36	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.79 / $1,852.90 / $3,219.75	Professional		$1,300.79	$1,852.90	$3,219.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,409.73 / $2,778.29 / $5,015.68	Professional		$1,409.73	$2,778.29	$5,015.68
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,359.99 / $1,875.02 / $4,404.43	Professional		$1,359.99	$1,875.02	$4,404.43
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