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 $1,069.26 / $1,203.25 / $1,530.07	Professional		$1,069.26	$1,203.25	$1,530.07
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 $1,147.98 / $1,968.57 / $2,934.33	Professional		$1,147.98	$1,968.57	$2,934.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.60 / $2,472.40 / $2,558.92	Facility		$1,322.60	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,540.63 / $2,310.44 / $3,434.70	Professional		$1,540.63	$2,310.44	$3,434.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,314.19 / $2,156.06 / $4,056.25	Professional		$1,314.19	$2,156.06	$4,056.25
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 $1,327.63 / $1,854.06 / $3,163.09	Professional		$1,327.63	$1,854.06	$3,163.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $920.00 / $1,012.00 / $1,288.00	Professional		$920.00	$1,012.00	$1,288.00