Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,385.49 / $9,859.00	Facility		$100.00	$4,385.49	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,414.55 / $2,756.18 / $3,467.72	Professional		$2,414.55	$2,756.18	$3,467.72
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 $2,574.46 / $4,414.72 / $6,580.54	Professional		$2,574.46	$4,414.72	$6,580.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,983.13 / $2,983.13 / $2,983.13	Facility		$2,983.13	$2,983.13	$2,983.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,424.78 / $4,936.20 / $7,711.81	Professional		$3,424.78	$4,936.20	$7,711.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,947.22 / $4,636.57 / $9,096.59	Professional		$2,947.22	$4,636.57	$9,096.59
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 $3,094.58 / $4,476.89 / $7,963.98	Professional		$3,094.58	$4,476.89	$7,963.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,079.91 / $2,287.90 / $2,911.87	Professional		$2,079.91	$2,287.90	$2,911.87