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 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.20 / $897.14 / $1,188.07	Professional		$831.20	$897.14	$1,188.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.94 / $1,539.80 / $2,295.21	Professional		$897.94	$1,539.80	$2,295.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.63 / $1,032.63 / $1,032.63	Facility		$1,032.63	$1,032.63	$1,032.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,175.10 / $1,727.38 / $2,698.68	Professional		$1,175.10	$1,727.38	$2,698.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,027.95 / $1,686.45 / $3,172.77	Professional		$1,027.95	$1,686.45	$3,172.77
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,041.14 / $1,559.87 / $2,555.21	Professional		$1,041.14	$1,559.87	$2,555.21
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $728.26 / $801.09 / $1,019.56	Professional		$728.26	$801.09	$1,019.56