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 $918.58 / $1,066.18 / $1,366.27	Professional		$918.58	$1,066.18	$1,366.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $20,162.41 / $35,151.03	Facility		$3,669.00	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $994.01 / $1,704.54 / $2,637.45	Professional		$994.01	$1,704.54	$2,637.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,164.19 / $1,164.19 / $1,164.19	Facility		$1,164.19	$1,164.19	$1,164.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,301.06 / $1,899.92 / $3,033.98	Professional		$1,301.06	$1,899.92	$3,033.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,137.93 / $1,790.19 / $3,512.22	Professional		$1,137.93	$1,790.19	$3,512.22
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,153.19 / $1,620.41 / $2,811.41	Professional		$1,153.19	$1,620.41	$2,811.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $801.66 / $881.83 / $1,122.32	Professional		$801.66	$881.83	$1,122.32