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 $787.55 / $890.69 / $1,127.83	Professional		$787.55	$890.69	$1,127.83
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 $850.07 / $1,442.16 / $2,172.84	Professional		$850.07	$1,442.16	$2,172.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.70 / $2,000.36 / $2,070.38	Facility		$977.70	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.99 / $1,535.87 / $2,546.28	Professional		$1,110.99	$1,535.87	$2,546.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $973.15 / $1,596.55 / $3,003.63	Professional		$973.15	$1,596.55	$3,003.63
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,021.81 / $1,494.57 / $2,941.32	Professional		$1,021.81	$1,494.57	$2,941.32
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $679.88 / $747.87 / $951.83	Professional		$679.88	$747.87	$951.83