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 $1,118.95 / $1,377.18 / $1,881.77	Professional		$1,118.95	$1,377.18	$1,881.77
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 $1,207.82 / $2,071.19 / $3,087.30	Professional		$1,207.82	$2,071.19	$3,087.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,388.99 / $2,000.36 / $2,070.38	Facility		$1,388.99	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,543.96 / $2,311.71 / $3,611.60	Professional		$1,543.96	$2,311.71	$3,611.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,382.70 / $2,268.46 / $4,267.70	Professional		$1,382.70	$2,268.46	$4,267.70
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 $1,378.70 / $1,812.45 / $3,393.10	Professional		$1,378.70	$1,812.45	$3,393.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $965.39 / $1,061.93 / $1,351.55	Professional		$965.39	$1,061.93	$1,351.55