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 $815.60 / $922.75 / $1,170.55	Professional		$815.60	$922.75	$1,170.55
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 $875.62 / $1,501.53 / $2,299.71	Professional		$875.62	$1,501.53	$2,299.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,009.63 / $1,009.63 / $1,009.63	Facility		$1,009.63	$1,009.63	$1,009.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.65 / $1,764.48 / $2,623.07	Professional		$1,172.65	$1,764.48	$2,623.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,002.40 / $1,576.98 / $3,093.91	Professional		$1,002.40	$1,576.98	$3,093.91
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 $1,117.45 / $1,554.37 / $5,758.12	Professional		$1,117.45	$1,554.37	$5,758.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $703.14 / $773.45 / $984.40	Professional		$703.14	$773.45	$984.40