Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $14,929.00	Facility		$100.00	$100.00	$14,929.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.26 / $1,090.93 / $1,417.35	Professional		$962.26	$1,090.93	$1,417.35
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 $1,363.69 / $1,710.91 / $2,468.63	Professional		$1,363.69	$1,710.91	$2,468.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.46 / $1,239.46 / $1,239.46	Facility		$1,239.46	$1,239.46	$1,239.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,336.15 / $2,057.78 / $3,214.86	Professional		$1,336.15	$2,057.78	$3,214.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,233.83 / $1,941.08 / $3,808.25	Professional		$1,233.83	$1,941.08	$3,808.25
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 $1,406.91 / $1,928.96 / $6,919.23	Professional		$1,406.91	$1,928.96	$6,919.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00