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 $912.58 / $1,028.53 / $1,306.99	Professional		$912.58	$1,028.53	$1,306.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,050.00	Facility		$8,992.79	$9,992.00	$19,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $983.33 / $1,663.42 / $2,513.48	Professional		$983.33	$1,663.42	$2,513.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,130.83 / $2,472.40 / $2,558.92	Facility		$1,130.83	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,322.35 / $1,980.33 / $2,943.96	Professional		$1,322.35	$1,980.33	$2,943.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,125.71 / $1,846.84 / $3,474.50	Professional		$1,125.71	$1,846.84	$3,474.50
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,182.00 / $1,691.13 / $3,002.99	Professional		$1,182.00	$1,691.13	$3,002.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $786.57 / $865.23 / $1,101.20	Professional		$786.57	$865.23	$1,101.20