Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $6,120.00	Facility		$5,100.00	$5,100.00	$6,120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Professional		$5,100.00	$5,100.00	$5,100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,919.27 / $7,364.70 / $10,000.00	Facility		$2,919.27	$7,364.70	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Professional		$5,100.00	$5,100.00	$5,100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Facility		$5,100.00	$5,100.00	$5,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Professional		$5,100.00	$5,100.00	$5,100.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $9,063.71	Professional		$5,100.00	$5,100.00	$9,063.71
United Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $5,100.00	Professional		$5,000.00	$5,000.00	$5,100.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $5,610.00 / $7,140.00	Professional		$2,500.00	$5,610.00	$7,140.00