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 $1,090.25 / $1,203.71 / $1,408.57	Professional		$1,090.25	$1,203.71	$1,408.57
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 $984.63 / $1,688.45 / $2,612.56	Professional		$984.63	$1,688.45	$2,612.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.85 / $1,137.85 / $1,137.85	Facility		$1,137.85	$1,137.85	$1,137.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,329.17 / $1,929.57 / $3,043.74	Professional		$1,329.17	$1,929.57	$3,043.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,127.19 / $1,849.27 / $3,479.07	Professional		$1,127.19	$1,849.27	$3,479.07
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 $1,246.82 / $1,872.30 / $3,455.18	Professional		$1,246.82	$1,872.30	$3,455.18
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $876.01 / $963.61 / $1,226.41	Professional		$876.01	$963.61	$1,226.41