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 $1,023.97 / $1,254.48 / $1,719.71	Professional		$1,023.97	$1,254.48	$1,719.71
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 $1,103.33 / $1,892.02 / $2,820.23	Professional		$1,103.33	$1,892.02	$2,820.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,272.28 / $3,906.58 / $4,043.31	Facility		$1,272.28	$3,906.58	$4,043.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,442.56 / $2,120.10 / $3,312.23	Professional		$1,442.56	$2,120.10	$3,312.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,263.08 / $2,072.23 / $3,898.53	Professional		$1,263.08	$2,072.23	$3,898.53
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 $1,251.25 / $1,644.51 / $3,343.35	Professional		$1,251.25	$1,644.51	$3,343.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $876.31 / $963.94 / $1,226.83	Professional		$876.31	$963.94	$1,226.83