Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,461.46 / $9,859.00	Facility		$100.00	$4,461.46	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,863.69 / $2,421.44 / $4,085.38	Professional		$1,863.69	$2,421.44	$4,085.38
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 $2,613.92 / $4,354.89 / $6,681.43	Professional		$2,613.92	$4,354.89	$6,681.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,011.39 / $3,011.39 / $3,011.39	Facility		$3,011.39	$3,011.39	$3,011.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,411.71 / $5,002.10 / $7,814.78	Professional		$3,411.71	$5,002.10	$7,814.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,992.39 / $4,707.63 / $9,236.01	Professional		$2,992.39	$4,707.63	$9,236.01
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 $3,046.39 / $4,200.04 / $7,541.04	Professional		$3,046.39	$4,200.04	$7,541.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,097.42 / $2,515.32 / $3,699.87	Professional		$2,097.42	$2,515.32	$3,699.87