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 $838.35 / $943.48 / $1,201.19	Professional		$838.35	$943.48	$1,201.19
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 $906.03 / $1,523.32 / $2,315.89	Professional		$906.03	$1,523.32	$2,315.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,041.93 / $2,000.36 / $2,070.38	Facility		$1,041.93	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.58 / $1,825.07 / $2,713.14	Professional		$1,220.58	$1,825.07	$2,713.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,037.21 / $1,701.65 / $3,201.35	Professional		$1,037.21	$1,701.65	$3,201.35
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 $1,058.14 / $1,530.28 / $2,758.02	Professional		$1,058.14	$1,530.28	$2,758.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $722.82 / $795.10 / $1,011.95	Professional		$722.82	$795.10	$1,011.95