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 $956.19 / $1,061.08 / $1,298.13	Professional		$956.19	$1,061.08	$1,298.13
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 $986.57 / $1,691.79 / $2,521.76	Professional		$986.57	$1,691.79	$2,521.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,134.56 / $2,862.32 / $2,962.50	Facility		$1,134.56	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.77 / $1,913.69 / $2,989.75	Professional		$1,304.77	$1,913.69	$2,989.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,129.42 / $1,852.93 / $3,485.95	Professional		$1,129.42	$1,852.93	$3,485.95
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 $1,168.61 / $1,606.84 / $3,462.52	Professional		$1,168.61	$1,606.84	$3,462.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $804.50 / $884.95 / $1,126.30	Professional		$804.50	$884.95	$1,126.30