Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,575.98 / $9,859.00	Facility		$100.00	$3,575.98	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,183.87 / $2,224.39 / $2,821.21	Professional		$2,183.87	$2,224.39	$2,821.21
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 $2,093.46 / $3,496.74 / $5,351.10	Professional		$2,093.46	$3,496.74	$5,351.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,447.00 / $2,447.00 / $2,447.00	Facility		$2,447.00	$2,447.00	$2,447.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,799.11 / $4,102.32 / $6,351.71	Professional		$2,799.11	$4,102.32	$6,351.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,396.58 / $3,770.30 / $7,397.04	Professional		$2,396.58	$3,770.30	$7,397.04
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 $2,462.35 / $3,288.21 / $6,077.65	Professional		$2,462.35	$3,288.21	$6,077.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,694.57 / $1,864.03 / $2,372.40	Professional		$1,694.57	$1,864.03	$2,372.40