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 $1,113.97 / $1,237.01 / $1,427.52	Professional		$1,113.97	$1,237.01	$1,427.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $16,696.31 / $29,108.25	Facility		$5,299.00	$16,696.31	$29,108.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,066.79 / $1,829.34 / $2,726.80	Professional		$1,066.79	$1,829.34	$2,726.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.70 / $1,243.70 / $1,243.70	Facility		$1,243.70	$1,243.70	$1,243.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,430.01 / $2,066.23 / $3,228.06	Professional		$1,430.01	$2,066.23	$3,228.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,221.25 / $1,921.27 / $3,769.39	Professional		$1,221.25	$1,921.27	$3,769.39
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 $1,254.47 / $1,642.76 / $2,977.40	Professional		$1,254.47	$1,642.76	$2,977.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $846.77 / $931.45 / $1,185.48	Professional		$846.77	$931.45	$1,185.48