Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,583.27 / $9,859.00	Facility		$100.00	$2,583.27	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,397.30 / $1,631.72 / $2,435.44	Professional		$1,397.30	$1,631.72	$2,435.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $16,696.31 / $29,108.25	Facility		$5,299.00	$16,696.31	$29,108.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,505.41 / $2,581.50 / $3,847.96	Professional		$1,505.41	$2,581.50	$3,847.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,738.56 / $1,738.56 / $1,738.56	Facility		$1,738.56	$1,738.56	$1,738.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,975.44 / $2,922.70 / $4,566.13	Professional		$1,975.44	$2,922.70	$4,566.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,723.38 / $2,711.22 / $5,319.21	Professional		$1,723.38	$2,711.22	$5,319.21
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 $1,764.98 / $2,390.64 / $10,053.83	Professional		$1,764.98	$2,390.64	$10,053.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,233.54 / $1,475.94 / $2,175.96	Professional		$1,233.54	$1,475.94	$2,175.96