Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,569.59 / $2,969.85	Facility		$100.00	$1,569.59	$2,969.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.92 / $851.25 / $1,221.33	Professional		$714.92	$851.25	$1,221.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $36,315.22 / $63,311.75	Facility		$3,669.00	$36,315.22	$63,311.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.96 / $1,531.03 / $2,348.96	Professional		$918.96	$1,531.03	$2,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,056.80 / $1,056.80 / $1,056.80	Facility		$1,056.80	$1,056.80	$1,056.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,139.21 / $1,658.15 / $2,749.47	Professional		$1,139.21	$1,658.15	$2,749.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,052.02 / $1,655.04 / $3,247.06	Professional		$1,052.02	$1,655.04	$3,247.06
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 $953.48 / $1,381.45 / $2,656.69	Professional		$953.48	$1,381.45	$2,656.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $735.49 / $809.04 / $1,029.69	Professional		$735.49	$809.04	$1,029.69