Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,629.80 / $8,982.77	Facility		$100.00	$4,629.80	$8,982.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,005.14 / $2,516.75 / $3,656.72	Professional		$2,005.14	$2,516.75	$3,656.72
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 $2,716.78 / $4,526.25 / $6,944.33	Professional		$2,716.78	$4,526.25	$6,944.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,145.79 / $3,145.79 / $3,145.79	Facility		$3,145.79	$3,145.79	$3,145.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,553.60 / $5,211.62 / $8,142.10	Professional		$3,553.60	$5,211.62	$8,142.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,110.15 / $4,892.89 / $9,599.48	Professional		$3,110.15	$4,892.89	$9,599.48
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 $3,134.82 / $4,424.54 / $8,395.56	Professional		$3,134.82	$4,424.54	$8,395.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,193.57 / $2,412.92 / $3,071.00	Professional		$2,193.57	$2,412.92	$3,071.00