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 / $6,067.00	Facility		$100.00	$2,331.21	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.69 / $1,301.96 / $1,605.60	Professional		$1,082.69	$1,301.96	$1,605.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,199.73 / $1,998.79 / $3,066.63	Professional		$1,199.73	$1,998.79	$3,066.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,379.69 / $1,751.69 / $1,812.99	Facility		$1,379.69	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,477.49 / $2,078.36 / $3,429.99	Professional		$1,477.49	$2,078.36	$3,429.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,373.44 / $2,253.27 / $4,239.12	Professional		$1,373.44	$2,253.27	$4,239.12
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,257.71 / $1,828.48 / $3,305.06	Professional		$1,257.71	$1,828.48	$3,305.06
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $934.48 / $1,027.93 / $1,308.27	Professional		$934.48	$1,027.93	$1,308.27