Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,995.66 / $9,859.00	Facility		$100.00	$2,995.66	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.23 / $2,067.28 / $2,361.19	Professional		$1,908.23	$2,067.28	$2,361.19
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 $1,752.86 / $3,005.82 / $4,480.46	Professional		$1,752.86	$3,005.82	$4,480.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,047.39 / $2,047.39 / $2,047.39	Facility		$2,047.39	$2,047.39	$2,047.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,347.57 / $3,409.36 / $5,354.64	Professional		$2,347.57	$3,409.36	$5,354.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,006.66 / $3,156.88 / $6,193.56	Professional		$2,006.66	$3,156.88	$6,193.56
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 $2,049.17 / $2,727.19 / $5,099.99	Professional		$2,049.17	$2,727.19	$5,099.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,420.36 / $1,562.40 / $1,988.50	Professional		$1,420.36	$1,562.40	$1,988.50