Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,836.52 / $9,859.00	Facility		$100.00	$2,836.52	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,666.03 / $1,798.14 / $2,198.35	Professional		$1,666.03	$1,798.14	$2,198.35
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 $1,653.23 / $2,814.24 / $4,225.81	Professional		$1,653.23	$2,814.24	$4,225.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,910.77 / $1,910.77 / $1,910.77	Facility		$1,910.77	$1,910.77	$1,910.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,142.52 / $3,212.37 / $5,018.68	Professional		$2,142.52	$3,212.37	$5,018.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,892.60 / $2,977.44 / $5,841.51	Professional		$1,892.60	$2,977.44	$5,841.51
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 $1,882.60 / $2,695.06 / $4,192.10	Professional		$1,882.60	$2,695.06	$4,192.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,356.33 / $1,491.96 / $1,898.86	Professional		$1,356.33	$1,491.96	$1,898.86