Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,045.85 / $9,859.00	Facility		$100.00	$4,045.85	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,308.64 / $2,568.96 / $3,222.43	Professional		$2,308.64	$2,568.96	$3,222.43
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 $2,371.32 / $4,066.38 / $6,061.31	Professional		$2,371.32	$4,066.38	$6,061.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,764.30 / $2,764.30 / $2,764.30	Facility		$2,764.30	$2,764.30	$2,764.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,161.83 / $4,625.29 / $7,209.58	Professional		$3,161.83	$4,625.29	$7,209.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,714.67 / $4,270.72 / $8,378.83	Professional		$2,714.67	$4,270.72	$8,378.83
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,714.67 / $3,764.23 / $6,804.01	Professional		$2,714.67	$3,764.23	$6,804.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,931.64 / $2,124.80 / $2,704.30	Professional		$1,931.64	$2,124.80	$2,704.30