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 $922.75 / $1,029.85 / $1,321.37	Professional		$922.75	$1,029.85	$1,321.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,334.70 / $11,483.00 / $21,862.00	Facility		$10,334.70	$11,483.00	$21,862.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $994.98 / $1,706.20 / $2,543.26	Professional		$994.98	$1,706.20	$2,543.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,144.23 / $1,144.23 / $1,144.23	Facility		$1,144.23	$1,144.23	$1,144.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,299.92 / $1,905.31 / $2,976.66	Professional		$1,299.92	$1,905.31	$2,976.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,139.04 / $1,868.71 / $3,515.65	Professional		$1,139.04	$1,868.71	$3,515.65
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.11 / $1,706.38 / $3,440.93	Professional		$1,148.11	$1,706.38	$3,440.93
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $795.14 / $874.65 / $1,113.20	Professional		$795.14	$874.65	$1,113.20