Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,698.48 / $9,859.00	Facility		$100.00	$2,698.48	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.69 / $1,580.52 / $2,541.58	Professional		$1,483.69	$1,580.52	$2,541.58
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 $1,572.36 / $2,696.32 / $4,019.11	Professional		$1,572.36	$2,696.32	$4,019.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.11 / $1,815.11 / $1,815.11	Facility		$1,815.11	$1,815.11	$1,815.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,063.55 / $3,051.60 / $4,767.51	Professional		$2,063.55	$3,051.60	$4,767.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,800.03 / $2,831.81 / $5,555.79	Professional		$1,800.03	$2,831.81	$5,555.79
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 $1,800.03 / $2,495.16 / $5,552.01	Professional		$1,800.03	$2,495.16	$5,552.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,287.60 / $1,545.13 / $2,271.34	Professional		$1,287.60	$1,545.13	$2,271.34