Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,127.61 / $9,859.00	Facility		$100.00	$3,127.61	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.01 / $827.98 / $1,003.87	Professional		$685.01	$827.98	$1,003.87
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 $911.52 / $1,389.41 / $2,291.88	Professional		$911.52	$1,389.41	$2,291.88
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 $958.88 / $1,397.83 / $2,360.44	Professional		$958.88	$1,397.83	$2,360.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,043.51 / $2,056.53 / $3,712.70	Professional		$1,043.51	$2,056.53	$3,712.70
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,064.48 / $1,510.85 / $3,208.92	Professional		$1,064.48	$1,510.85	$3,208.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $727.86 / $850.14 / $1,283.95	Professional		$727.86	$850.14	$1,283.95