Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,411.47 / $10,783.50	Facility		$100.00	$5,411.47	$10,783.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,018.17 / $3,260.37 / $4,286.17	Professional		$3,018.17	$3,260.37	$4,286.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,458.00 / $51,903.94 / $90,489.02	Facility		$9,458.00	$51,903.94	$90,489.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,178.04 / $5,294.74 / $8,123.37	Professional		$3,178.04	$5,294.74	$8,123.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,686.20 / $3,686.20 / $3,686.20	Facility		$3,686.20	$3,686.20	$3,686.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,228.01 / $6,128.00 / $9,517.45	Professional		$4,228.01	$6,128.00	$9,517.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,638.20 / $5,723.62 / $11,229.30	Professional		$3,638.20	$5,723.62	$11,229.30
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,703.99 / $5,020.14 / $9,854.20	Professional		$3,703.99	$5,020.14	$9,854.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,572.51 / $2,829.76 / $3,601.51	Professional		$2,572.51	$2,829.76	$3,601.51