Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,813.49 / $9,859.00	Facility		$100.00	$3,813.49	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.18 / $974.31 / $1,181.72	Professional		$817.18	$974.31	$1,181.72
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 $1,133.42 / $1,727.64 / $2,849.79	Professional		$1,133.42	$1,727.64	$2,849.79
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 $1,128.27 / $1,848.67 / $2,969.03	Professional		$1,128.27	$1,848.67	$2,969.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,297.53 / $2,557.17 / $4,616.47	Professional		$1,297.53	$2,557.17	$4,616.47
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 $1,121.39 / $1,707.31 / $4,021.57	Professional		$1,121.39	$1,707.31	$4,021.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $911.55 / $1,002.71 / $1,276.17	Professional		$911.55	$1,002.71	$1,276.17