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 $1,058.01 / $1,179.36 / $1,664.03	Professional		$1,058.01	$1,179.36	$1,664.03
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 $1,248.90 / $2,141.63 / $3,192.31	Professional		$1,248.90	$2,141.63	$3,192.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,437.35 / $1,437.35 / $1,437.35	Facility		$1,437.35	$1,437.35	$1,437.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,632.68 / $2,404.79 / $3,757.00	Professional		$1,632.68	$2,404.79	$3,757.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,429.73 / $2,249.25 / $4,412.85	Professional		$1,429.73	$2,249.25	$4,412.85
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 $1,457.72 / $1,900.51 / $3,615.53	Professional		$1,457.72	$1,900.51	$3,615.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,012.89 / $1,114.18 / $1,418.05	Professional		$1,012.89	$1,114.18	$1,418.05