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 $1,015.06 / $1,136.25 / $1,442.82	Professional		$1,015.06	$1,136.25	$1,442.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $36,315.22 / $63,311.75	Facility		$3,669.00	$36,315.22	$63,311.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.52 / $1,850.56 / $2,777.23	Professional		$1,086.52	$1,850.56	$2,777.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,249.94 / $1,249.94 / $1,249.94	Facility		$1,249.94	$1,249.94	$1,249.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,419.34 / $1,961.44 / $3,248.33	Professional		$1,419.34	$1,961.44	$3,248.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,243.83 / $1,956.81 / $3,839.11	Professional		$1,243.83	$1,956.81	$3,839.11
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 $1,267.78 / $1,749.59 / $7,112.60	Professional		$1,267.78	$1,749.59	$7,112.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $869.51 / $956.46 / $1,217.31	Professional		$869.51	$956.46	$1,217.31