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 $726.93 / $834.47 / $1,203.40	Professional		$726.93	$834.47	$1,203.40
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 $900.85 / $1,510.58 / $2,302.66	Professional		$900.85	$1,510.58	$2,302.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.04 / $2,000.36 / $2,070.38	Facility		$1,042.04	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,186.05 / $1,672.30 / $2,774.98	Professional		$1,186.05	$1,672.30	$2,774.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,031.29 / $1,691.93 / $3,183.08	Professional		$1,031.29	$1,691.93	$3,183.08
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 $1,070.31 / $1,444.18 / $2,707.56	Professional		$1,070.31	$1,444.18	$2,707.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $715.49 / $787.04 / $1,001.69	Professional		$715.49	$787.04	$1,001.69