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 $850.35 / $928.21 / $1,322.17	Professional		$850.35	$928.21	$1,322.17
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 $981.72 / $1,660.81 / $2,509.35	Professional		$981.72	$1,660.81	$2,509.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,145.67 / $1,145.67 / $1,145.67	Facility		$1,145.67	$1,145.67	$1,145.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.99 / $1,846.99 / $3,064.85	Professional		$1,254.99	$1,846.99	$3,064.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,123.85 / $1,843.80 / $3,468.79	Professional		$1,123.85	$1,843.80	$3,468.79
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 $1,141.59 / $1,565.11 / $2,586.62	Professional		$1,141.59	$1,565.11	$2,586.62
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $758.96 / $910.75 / $1,338.81	Professional		$758.96	$910.75	$1,338.81