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 $1,117.08 / $1,250.49 / $1,603.59	Professional		$1,117.08	$1,250.49	$1,603.59
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 $1,205.88 / $2,067.85 / $3,082.32	Professional		$1,205.88	$2,067.85	$3,082.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,387.75 / $5,257.46 / $5,441.47	Facility		$1,387.75	$5,257.46	$5,441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.31 / $2,309.75 / $3,608.52	Professional		$1,551.31	$2,309.75	$3,608.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,380.48 / $2,264.82 / $4,260.85	Professional		$1,380.48	$2,264.82	$4,260.85
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 $1,355.68 / $2,071.71 / $3,685.38	Professional		$1,355.68	$2,071.71	$3,685.38
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $965.06 / $1,061.57 / $1,351.08	Professional		$965.06	$1,061.57	$1,351.08