Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $15,774.00	Facility		$100.00	$100.00	$15,774.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.10 / $1,157.00 / $1,675.30	Professional		$912.10	$1,157.00	$1,675.30
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 $970.53 / $1,104.72 / $1,104.72	Professional		$970.53	$1,104.72	$1,104.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,495.62 / $1,495.62 / $1,495.62	Facility		$1,495.62	$1,495.62	$1,495.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,616.56 / $2,341.94 / $3,546.96	Professional		$1,616.56	$2,341.94	$3,546.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,477.50 / $2,423.98 / $4,560.30	Professional		$1,477.50	$2,423.98	$4,560.30
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 $927.32 / $2,314.30 / $4,041.03	Professional		$927.32	$2,314.30	$4,041.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,382.86 / $3,000.00 / $4,335.00	Professional		$2,382.86	$3,000.00	$4,335.00