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 $915.44 / $1,039.15 / $1,503.34	Professional		$915.44	$1,039.15	$1,503.34
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 $1,133.42 / $1,888.32 / $2,897.13	Professional		$1,133.42	$1,888.32	$2,897.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,303.43 / $1,303.43 / $1,303.43	Facility		$1,303.43	$1,303.43	$1,303.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,398.43 / $2,024.06 / $3,358.69	Professional		$1,398.43	$2,024.06	$3,358.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,297.53 / $2,128.73 / $4,004.83	Professional		$1,297.53	$2,128.73	$4,004.83
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 $1,185.00 / $1,693.54 / $3,365.46	Professional		$1,185.00	$1,693.54	$3,365.46
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $878.12 / $965.93 / $1,229.36	Professional		$878.12	$965.93	$1,229.36