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 / $6,067.00	Facility		$100.00	$2,331.21	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.43 / $919.77 / $1,170.03	Professional		$817.43	$919.77	$1,170.03
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 $882.41 / $1,487.70 / $2,255.51	Professional		$882.41	$1,487.70	$2,255.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.77 / $1,751.69 / $1,812.99	Facility		$1,014.77	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,144.76 / $1,593.58 / $2,638.63	Professional		$1,144.76	$1,593.58	$2,638.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,010.18 / $1,657.30 / $3,117.92	Professional		$1,010.18	$1,657.30	$3,117.92
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 $1,052.71 / $1,523.37 / $3,053.44	Professional		$1,052.71	$1,523.37	$3,053.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $705.69 / $846.83 / $1,336.58	Professional		$705.69	$846.83	$1,336.58