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 $860.74 / $950.49 / $1,229.76	Professional		$860.74	$950.49	$1,229.76
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 $927.70 / $1,572.27 / $2,371.27	Professional		$927.70	$1,572.27	$2,371.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.85 / $1,066.85 / $1,066.85	Facility		$1,066.85	$1,066.85	$1,066.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,212.40 / $1,675.43 / $2,777.71	Professional		$1,212.40	$1,675.43	$2,777.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,062.02 / $1,742.35 / $3,277.92	Professional		$1,062.02	$1,742.35	$3,277.92
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,062.02 / $1,433.95 / $2,687.36	Professional		$1,062.02	$1,433.95	$2,687.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $740.14 / $814.15 / $1,036.20	Professional		$740.14	$814.15	$1,036.20