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 $798.34 / $844.95 / $1,204.13	Professional		$798.34	$844.95	$1,204.13
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 $907.00 / $1,555.33 / $2,318.35	Professional		$907.00	$1,555.33	$2,318.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.05 / $1,043.05 / $1,043.05	Facility		$1,043.05	$1,043.05	$1,043.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,219.93 / $1,737.67 / $2,714.76	Professional		$1,219.93	$1,737.67	$2,714.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,038.32 / $1,703.47 / $3,204.77	Professional		$1,038.32	$1,703.47	$3,204.77
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 $1,058.39 / $1,459.05 / $2,769.49	Professional		$1,058.39	$1,459.05	$2,769.49
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $725.48 / $798.03 / $1,015.67	Professional		$725.48	$798.03	$1,015.67