Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,037.80 / $7,171.00	Facility		$100.00	$3,037.80	$7,171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,700.13 / $1,888.77 / $2,384.44	Professional		$1,700.13	$1,888.77	$2,384.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $20,162.41 / $35,151.03	Facility		$8,512.20	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,781.32 / $3,054.64 / $4,553.22	Professional		$1,781.32	$3,054.64	$4,553.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,057.66 / $2,057.66 / $2,057.66	Facility		$2,057.66	$2,057.66	$2,057.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,381.56 / $3,746.18 / $5,333.32	Professional		$2,381.56	$3,746.18	$5,333.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,039.24 / $3,208.13 / $6,294.11	Professional		$2,039.24	$3,208.13	$6,294.11
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,504.44 / $3,374.03 / $11,747.66	Professional		$2,504.44	$3,374.03	$11,747.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,433.65 / $1,720.38 / $2,528.96	Professional		$1,433.65	$1,720.38	$2,528.96