Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $4,922.00 / $14,000.00	Facility		$2,240.00	$4,922.00	$14,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,560.00	Professional		$1,200.00	$1,200.00	$1,560.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,290.00 / $3,871.60 / $9,958.60	Facility		$3,290.00	$3,871.60	$9,958.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $1,300.00 / $1,300.00	Professional		$800.00	$1,300.00	$1,300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,611.40 / $7,558.20 / $8,633.54	Facility		$3,611.40	$7,558.20	$8,633.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.01 / $3,907.60 / $8,310.51	Professional		$1,036.01	$3,907.60	$8,310.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,902.80 / $6,588.20	Professional		$2,000.00	$2,902.80	$6,588.20
United Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $1,200.00 / $2,000.00	Professional		$840.00	$1,200.00	$2,000.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,493.40 / $2,054.92 / $3,375.00	Professional		$1,493.40	$2,054.92	$3,375.00