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 $812.68 / $882.09 / $1,159.58	Professional		$812.68	$882.09	$1,159.58
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 $884.03 / $1,495.98 / $2,259.65	Professional		$884.03	$1,495.98	$2,259.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.63 / $2,472.40 / $2,558.92	Facility		$1,016.63	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,159.78 / $1,703.15 / $2,660.83	Professional		$1,159.78	$1,703.15	$2,660.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,012.03 / $1,660.34 / $3,123.63	Professional		$1,012.03	$1,660.34	$3,123.63
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 $1,039.77 / $1,475.07 / $2,681.82	Professional		$1,039.77	$1,475.07	$2,681.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $705.76 / $837.59 / $1,244.96	Professional		$705.76	$837.59	$1,244.96