Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,732.04 / $10,145.00	Facility		$100.00	$4,732.04	$10,145.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,611.61 / $3,067.11 / $3,739.45	Professional		$2,611.61	$3,067.11	$3,739.45
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 $2,778.24 / $4,764.17 / $7,101.44	Professional		$2,778.24	$4,764.17	$7,101.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,218.75 / $3,218.75 / $3,218.75	Facility		$3,218.75	$3,218.75	$3,218.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,699.54 / $5,321.62 / $8,313.95	Professional		$3,699.54	$5,321.62	$8,313.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,180.51 / $5,003.58 / $9,816.64	Professional		$3,180.51	$5,003.58	$9,816.64
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 $3,235.54 / $4,367.80 / $8,603.36	Professional		$3,235.54	$4,367.80	$8,603.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,246.61 / $2,471.27 / $3,145.25	Professional		$2,246.61	$2,471.27	$3,145.25