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 $885.86 / $981.78 / $1,267.49	Professional		$885.86	$981.78	$1,267.49
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 $954.87 / $1,637.43 / $2,440.73	Professional		$954.87	$1,637.43	$2,440.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,098.09 / $2,472.40 / $2,558.92	Facility		$1,098.09	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.01 / $1,830.81 / $2,860.28	Professional		$1,254.01	$1,830.81	$2,860.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,093.13 / $1,793.39 / $3,373.95	Professional		$1,093.13	$1,793.39	$3,373.95
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 $1,114.74 / $1,484.54 / $2,767.73	Professional		$1,114.74	$1,484.54	$2,767.73
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $763.54 / $839.89 / $1,068.96	Professional		$763.54	$839.89	$1,068.96