Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,569.50 / $9,859.00	Facility		$100.00	$4,569.50	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,926.67 / $2,484.48 / $3,608.16	Professional		$1,926.67	$2,484.48	$3,608.16
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 $2,681.85 / $4,468.06 / $6,855.04	Professional		$2,681.85	$4,468.06	$6,855.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,106.91 / $3,106.91 / $3,106.91	Facility		$3,106.91	$3,106.91	$3,106.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,494.32 / $5,141.99 / $8,033.32	Professional		$3,494.32	$5,141.99	$8,033.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,070.16 / $4,829.97 / $9,476.04	Professional		$3,070.16	$4,829.97	$9,476.04
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 $3,118.73 / $3,785.42 / $7,459.14	Professional		$3,118.73	$3,785.42	$7,459.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,164.94 / $2,381.42 / $3,030.92	Professional		$2,164.94	$2,381.42	$3,030.92