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 $1,224.70 / $1,480.72 / $2,121.08	Professional		$1,224.70	$1,480.72	$2,121.08
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 $1,350.79 / $2,253.16 / $3,452.75	Professional		$1,350.79	$2,253.16	$3,452.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,554.29 / $2,472.40 / $2,558.92	Facility		$1,554.29	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,694.54 / $2,475.55 / $4,107.87	Professional		$1,694.54	$2,475.55	$4,107.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,546.37 / $2,536.96 / $4,772.87	Professional		$1,546.37	$2,536.96	$4,772.87
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 $1,552.06 / $2,059.76 / $3,993.20	Professional		$1,552.06	$2,059.76	$3,993.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,070.80 / $1,177.88 / $1,499.12	Professional		$1,070.80	$1,177.88	$1,499.12