Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,957.33 / $4,478.79	Facility		$100.00	$1,957.33	$4,478.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.63 / $1,212.24 / $1,533.03	Professional		$901.63	$1,212.24	$1,533.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $20,162.41 / $35,151.03	Facility		$3,669.00	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,147.33 / $1,911.49 / $2,932.68	Professional		$1,147.33	$1,911.49	$2,932.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.04 / $1,324.04 / $1,324.04	Facility		$1,324.04	$1,324.04	$1,324.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,535.64 / $2,309.05 / $3,432.63	Professional		$1,535.64	$2,309.05	$3,432.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,313.45 / $2,066.32 / $4,053.96	Professional		$1,313.45	$2,066.32	$4,053.96
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 $1,526.86 / $1,993.61 / $3,241.81	Professional		$1,526.86	$1,993.61	$3,241.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $920.73 / $1,012.80 / $1,289.02	Professional		$920.73	$1,012.80	$1,289.02