Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,199.12 / $9,859.00	Facility		$100.00	$3,199.12	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.95 / $821.36 / $996.41	Professional		$688.95	$821.36	$996.41
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 $965.87 / $1,472.25 / $2,428.52	Professional		$965.87	$1,472.25	$2,428.52
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 $939.98 / $1,541.74 / $2,416.42	Professional		$939.98	$1,541.74	$2,416.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,105.72 / $2,179.14 / $3,934.04	Professional		$1,105.72	$2,179.14	$3,934.04
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 $1,022.72 / $1,545.73 / $3,929.00	Professional		$1,022.72	$1,545.73	$3,929.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $745.46 / $820.01 / $1,043.64	Professional		$745.46	$820.01	$1,043.64