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 $998.64 / $1,127.33 / $1,430.27	Professional		$998.64	$1,127.33	$1,430.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,073.90 / $1,841.55 / $2,745.00	Professional		$1,073.90	$1,841.55	$2,745.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,236.73 / $2,862.32 / $2,962.50	Facility		$1,236.73	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,406.78 / $2,058.57 / $3,216.10	Professional		$1,406.78	$2,058.57	$3,216.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,229.40 / $2,016.95 / $3,794.54	Professional		$1,229.40	$2,016.95	$3,794.54
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 $1,271.89 / $1,750.67 / $3,282.67	Professional		$1,271.89	$1,750.67	$3,282.67
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $859.53 / $945.48 / $1,203.33	Professional		$859.53	$945.48	$1,203.33