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 $865.55 / $971.57 / $1,259.70	Professional		$865.55	$971.57	$1,259.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $20,162.41 / $35,151.03	Facility		$3,669.00	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $947.11 / $1,577.90 / $2,420.88	Professional		$947.11	$1,577.90	$2,420.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.18 / $1,089.18 / $1,089.18	Facility		$1,089.18	$1,089.18	$1,089.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.33 / $1,714.60 / $2,845.18	Professional		$1,238.33	$1,714.60	$2,845.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,084.24 / $1,705.73 / $3,346.51	Professional		$1,084.24	$1,705.73	$3,346.51
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 $1,129.89 / $1,626.36 / $2,870.02	Professional		$1,129.89	$1,626.36	$2,870.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $752.29 / $827.52 / $1,053.21	Professional		$752.29	$827.52	$1,053.21