Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,678.80 / $11,351.00	Facility		$100.00	$2,678.80	$11,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.09 / $993.55 / $1,270.19	Professional		$887.09	$993.55	$1,270.19
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 $955.52 / $1,638.53 / $2,442.39	Professional		$955.52	$1,638.53	$2,442.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,098.84 / $2,000.36 / $2,070.38	Facility		$1,098.84	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,285.85 / $1,925.79 / $2,862.87	Professional		$1,285.85	$1,925.79	$2,862.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,093.86 / $1,794.60 / $3,376.23	Professional		$1,093.86	$1,794.60	$3,376.23
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 $1,139.92 / $1,708.49 / $2,917.89	Professional		$1,139.92	$1,708.49	$2,917.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $764.43 / $840.87 / $1,070.20	Professional		$764.43	$840.87	$1,070.20