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 $1,017.48 / $1,148.64 / $1,457.61	Professional		$1,017.48	$1,148.64	$1,457.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,534.28 / $9,157.56 / $15,965.24	Facility		$3,534.28	$9,157.56	$15,965.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,093.96 / $1,852.57 / $2,796.26	Professional		$1,093.96	$1,852.57	$2,796.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.32 / $1,260.32 / $1,260.32	Facility		$1,260.32	$1,260.32	$1,260.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.10 / $1,974.06 / $3,275.72	Professional		$1,412.10	$1,974.06	$3,275.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,252.34 / $2,054.61 / $3,865.38	Professional		$1,252.34	$2,054.61	$3,865.38
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 $1,300.22 / $1,763.87 / $3,012.26	Professional		$1,300.22	$1,763.87	$3,012.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $876.21 / $963.83 / $1,226.69	Professional		$876.21	$963.83	$1,226.69