Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,602.86 / $9,859.00	Facility		$100.00	$1,602.86	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.77 / $1,000.58 / $1,322.77	Professional		$877.77	$1,000.58	$1,322.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $949.69 / $1,628.55 / $2,427.50	Professional		$949.69	$1,628.55	$2,427.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.95 / $5,257.46 / $5,441.47	Facility		$1,115.95	$5,257.46	$5,441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,233.51 / $1,794.59 / $2,843.77	Professional		$1,233.51	$1,794.59	$2,843.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,087.20 / $1,783.66 / $3,355.64	Professional		$1,087.20	$1,783.66	$3,355.64
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,108.91 / $1,546.15 / $2,975.75	Professional		$1,108.91	$1,546.15	$2,975.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $770.74 / $847.81 / $1,079.04	Professional		$770.74	$847.81	$1,079.04