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 $889.00 / $998.07 / $1,272.49	Professional		$889.00	$998.07	$1,272.49
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 $958.10 / $1,642.97 / $2,449.00	Professional		$958.10	$1,642.97	$2,449.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,101.82 / $2,472.40 / $2,558.92	Facility		$1,101.82	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.18 / $1,730.93 / $2,870.06	Professional		$1,252.18	$1,730.93	$2,870.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,096.83 / $1,799.46 / $3,385.37	Professional		$1,096.83	$1,799.46	$3,385.37
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,118.86 / $1,489.83 / $2,777.76	Professional		$1,118.86	$1,489.83	$2,777.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $766.24 / $842.86 / $1,072.74	Professional		$766.24	$842.86	$1,072.74