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 $837.44 / $927.08 / $1,207.38	Professional		$837.44	$927.08	$1,207.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $36,315.22 / $63,311.75	Facility		$3,669.00	$36,315.22	$63,311.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.52 / $1,563.09 / $2,329.92	Professional		$911.52	$1,563.09	$2,329.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,048.25 / $1,048.25 / $1,048.25	Facility		$1,048.25	$1,048.25	$1,048.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,191.64 / $1,746.96 / $2,729.27	Professional		$1,191.64	$1,746.96	$2,729.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,043.51 / $1,641.65 / $3,220.79	Professional		$1,043.51	$1,641.65	$3,220.79
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,043.51 / $1,364.69 / $2,553.40	Professional		$1,043.51	$1,364.69	$2,553.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $726.83 / $799.51 / $1,017.56	Professional		$726.83	$799.51	$1,017.56