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 $1,057.52 / $1,164.26 / $1,547.81	Professional		$1,057.52	$1,164.26	$1,547.81
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 $1,154.45 / $1,929.42 / $2,950.87	Professional		$1,154.45	$1,929.42	$2,950.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,330.96 / $2,472.40 / $2,558.92	Facility		$1,330.96	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.10 / $2,125.81 / $3,527.52	Professional		$1,506.10	$2,125.81	$3,527.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,321.60 / $2,168.21 / $4,079.12	Professional		$1,321.60	$2,168.21	$4,079.12
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 $1,439.05 / $1,992.18 / $3,948.13	Professional		$1,439.05	$1,992.18	$3,948.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $916.68 / $1,008.35 / $1,283.34	Professional		$916.68	$1,008.35	$1,283.34