Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,963.31 / $9,859.00	Facility		$100.00	$5,963.31	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.08 / $1,529.74 / $1,864.14	Professional		$1,192.08	$1,529.74	$1,864.14
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 $1,738.95 / $2,650.64 / $4,372.30	Professional		$1,738.95	$2,650.64	$4,372.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,472.40 / $2,472.40 / $2,558.92	Facility		$2,472.40	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,630.81 / $2,645.72 / $4,527.51	Professional		$1,630.81	$2,645.72	$4,527.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,990.73 / $3,923.32 / $7,082.82	Professional		$1,990.73	$3,923.32	$7,082.82
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 $1,868.27 / $2,741.04 / $7,082.82	Professional		$1,868.27	$2,741.04	$7,082.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,410.31 / $1,551.34 / $1,974.43	Professional		$1,410.31	$1,551.34	$1,974.43