Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,624.84 / $3,265.00	Facility		$100.00	$1,624.84	$3,265.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.13 / $996.41 / $1,264.72	Professional		$886.13	$996.41	$1,264.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $51,903.94 / $90,489.02	Facility		$3,669.00	$51,903.94	$90,489.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $951.31 / $1,615.01 / $2,431.64	Professional		$951.31	$1,615.01	$2,431.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,094.01 / $1,094.01 / $1,094.01	Facility		$1,094.01	$1,094.01	$1,094.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,242.52 / $1,716.73 / $2,846.69	Professional		$1,242.52	$1,716.73	$2,846.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,089.05 / $1,713.29 / $3,361.35	Professional		$1,089.05	$1,713.29	$3,361.35
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,099.85 / $1,482.28 / $2,909.61	Professional		$1,099.85	$1,482.28	$2,909.61
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $761.92 / $838.11 / $1,066.69	Professional		$761.92	$838.11	$1,066.69