Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,920.00 / $8,613.50 / $24,500.00	Facility		$3,920.00	$8,613.50	$24,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,450.00 / $2,450.00 / $2,835.00	Professional		$2,450.00	$2,450.00	$2,835.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,757.50 / $6,398.00 / $13,650.00	Facility		$5,757.50	$6,398.00	$13,650.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $2,275.00 / $2,275.00	Professional		$1,400.00	$2,275.00	$2,275.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,319.95 / $12,795.09 / $15,353.98	Facility		$6,319.95	$12,795.09	$15,353.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,647.35 / $6,220.20 / $11,529.35	Professional		$3,647.35	$6,220.20	$11,529.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $2,100.00 / $2,100.00	Professional		$1,470.00	$2,100.00	$2,100.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $3,000.00 / $4,410.00	Professional		$2,500.00	$3,000.00	$4,410.00