Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,052.44 / $3,608.37	Facility		$100.00	$2,052.44	$3,608.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.97 / $1,102.71 / $1,601.25	Professional		$792.97	$1,102.71	$1,601.25
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 $1,199.41 / $1,998.25 / $3,041.96	Professional		$1,199.41	$1,998.25	$3,041.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,379.44 / $1,379.44 / $1,379.44	Facility		$1,379.44	$1,379.44	$1,379.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.88 / $2,170.77 / $3,622.31	Professional		$1,496.88	$2,170.77	$3,622.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,373.07 / $2,252.66 / $4,237.97	Professional		$1,373.07	$2,252.66	$4,237.97
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 $1,237.51 / $1,760.82 / $3,579.81	Professional		$1,237.51	$1,760.82	$3,579.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $938.76 / $1,032.64 / $1,314.26	Professional		$938.76	$1,032.64	$1,314.26