Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $1,105.00 / $1,326.00	Facility		$1,105.00	$1,105.00	$1,326.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,105.00 / $1,105.00 / $1,105.00	Professional		$1,105.00	$1,105.00	$1,105.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $2,129.01 / $3,672.26	Facility		$0.02	$2,129.01	$3,672.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.01 / $1,157.01 / $1,157.01	Professional		$1,157.01	$1,157.01	$1,157.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Facility		$1,066.90	$1,066.90	$1,066.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,873.00 / $3,811.83	Professional		$1,235.00	$1,873.00	$3,811.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,235.00	Professional		$1,235.00	$1,235.00	$1,235.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $903.41 / $993.75 / $1,264.77	Professional		$903.41	$993.75	$1,264.77