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 $1,261.67 / $1,360.32 / $1,822.44	Professional		$1,261.67	$1,360.32	$1,822.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,353.70 / $2,264.51 / $3,460.19	Professional		$1,353.70	$2,264.51	$3,460.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,562.12 / $2,000.36 / $2,070.38	Facility		$1,562.12	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,775.24 / $2,495.44 / $4,140.89	Professional		$1,775.24	$2,495.44	$4,140.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,549.71 / $2,542.44 / $4,783.18	Professional		$1,549.71	$2,542.44	$4,783.18
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 $1,587.37 / $2,184.87 / $4,145.79	Professional		$1,587.37	$2,184.87	$4,145.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,090.85 / $1,199.95 / $1,527.20	Professional		$1,090.85	$1,199.95	$1,527.20