Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,716.89 / $9,859.00	Facility		$100.00	$4,716.89	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,109.62 / $2,565.58 / $3,728.84	Professional		$2,109.62	$2,565.58	$3,728.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,769.51 / $4,614.10 / $7,079.12	Professional		$2,769.51	$4,614.10	$7,079.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,472.40 / $2,558.92 / $3,209.63	Facility		$2,472.40	$2,558.92	$3,209.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,493.01 / $5,306.31 / $8,290.03	Professional		$3,493.01	$5,306.31	$8,290.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,170.51 / $5,201.54 / $9,785.78	Professional		$3,170.51	$5,201.54	$9,785.78
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 $3,118.83 / $4,220.43 / $8,580.28	Professional		$3,118.83	$4,220.43	$8,580.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,240.54 / $2,464.59 / $3,136.76	Professional		$2,240.54	$2,464.59	$3,136.76