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 $1,176.15 / $1,435.29 / $1,966.22	Professional		$1,176.15	$1,435.29	$1,966.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,050.00	Facility		$8,992.79	$9,992.00	$19,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,259.90 / $2,160.48 / $3,220.41	Professional		$1,259.90	$2,160.48	$3,220.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,448.89 / $1,448.89 / $1,448.89	Facility		$1,448.89	$1,448.89	$1,448.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,683.36 / $2,411.51 / $3,767.50	Professional		$1,683.36	$2,411.51	$3,767.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,442.32 / $2,366.27 / $4,451.72	Professional		$1,442.32	$2,366.27	$4,451.72
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 $1,469.50 / $2,029.35 / $3,545.87	Professional		$1,469.50	$2,029.35	$3,545.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,008.51 / $1,210.21 / $1,910.12	Professional		$1,008.51	$1,210.21	$1,910.12