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 $790.99 / $862.22 / $1,185.31	Professional		$790.99	$862.22	$1,185.31
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 $888.23 / $1,488.41 / $2,270.40	Professional		$888.23	$1,488.41	$2,270.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,026.75 / $2,000.36 / $2,070.38	Facility		$1,026.75	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,166.00 / $1,645.29 / $2,730.16	Professional		$1,166.00	$1,645.29	$2,730.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,016.84 / $1,668.23 / $3,138.48	Professional		$1,016.84	$1,668.23	$3,138.48
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 $1,055.71 / $1,333.28 / $2,617.13	Professional		$1,055.71	$1,333.28	$2,617.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $691.17 / $824.65 / $1,219.22	Professional		$691.17	$824.65	$1,219.22