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 $878.73 / $931.72 / $1,329.73	Professional		$878.73	$931.72	$1,329.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.48 / $1,711.36 / $2,557.31	Professional		$1,000.48	$1,711.36	$2,557.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.55 / $2,000.36 / $2,070.38	Facility		$1,150.55	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,344.86 / $2,014.53 / $2,994.80	Professional		$1,344.86	$2,014.53	$2,994.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,145.33 / $1,879.04 / $3,535.09	Professional		$1,145.33	$1,879.04	$3,535.09
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,166.75 / $1,664.73 / $2,893.93	Professional		$1,166.75	$1,664.73	$2,893.93
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $800.59 / $880.65 / $1,120.83	Professional		$800.59	$880.65	$1,120.83