Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $21,126.00	Facility		$100.00	$100.00	$21,126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.16 / $1,244.31 / $1,577.18	Professional		$1,103.16	$1,244.31	$1,577.18
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 $1,444.26 / $1,983.22 / $2,972.22	Professional		$1,444.26	$1,983.22	$2,972.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.20 / $2,000.36 / $2,070.38	Facility		$1,364.20	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,474.52 / $2,282.92 / $3,549.39	Professional		$1,474.52	$2,282.92	$3,549.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,344.93 / $2,206.48 / $4,151.13	Professional		$1,344.93	$2,206.48	$4,151.13
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 $1,255.92 / $1,844.15 / $3,344.92	Professional		$1,255.92	$1,844.15	$3,344.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00