Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,678.80 / $9,859.00	Facility		$100.00	$2,678.80	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.80 / $1,129.79 / $1,536.11	Professional		$923.80	$1,129.79	$1,536.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $983.98 / $1,694.48 / $2,611.48	Professional		$983.98	$1,694.48	$2,611.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,145.56 / $2,000.36 / $2,070.38	Facility		$1,145.56	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.16 / $1,852.89 / $2,807.22	Professional		$1,243.16	$1,852.89	$2,807.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,126.45 / $1,848.05 / $3,476.79	Professional		$1,126.45	$1,848.05	$3,476.79
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,126.45 / $1,598.93 / $2,923.63	Professional		$1,126.45	$1,598.93	$2,923.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $789.23 / $868.15 / $1,104.92	Professional		$789.23	$868.15	$1,104.92