Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,791.20 / $9,859.00	Facility		$100.00	$2,791.20	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,532.90 / $1,852.95 / $2,566.31	Professional		$1,532.90	$1,852.95	$2,566.31
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 $1,636.41 / $2,726.31 / $4,182.80	Professional		$1,636.41	$2,726.31	$4,182.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,889.38 / $1,889.38 / $1,889.38	Facility		$1,889.38	$1,889.38	$1,889.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,189.11 / $3,135.17 / $4,898.07	Professional		$2,189.11	$3,135.17	$4,898.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,873.35 / $3,073.42 / $5,782.09	Professional		$1,873.35	$3,073.42	$5,782.09
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 $1,961.80 / $2,632.46 / $5,036.07	Professional		$1,961.80	$2,632.46	$5,036.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,316.98 / $1,448.68 / $1,843.77	Professional		$1,316.98	$1,448.68	$1,843.77