Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,532.46 / $9,859.00	Facility		$100.00	$2,532.46	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.90 / $1,453.57 / $1,986.55	Professional		$1,217.90	$1,453.57	$1,986.55
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 $1,482.44 / $2,469.80 / $3,789.26	Professional		$1,482.44	$2,469.80	$3,789.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,710.90 / $1,710.90 / $1,710.90	Facility		$1,710.90	$1,710.90	$1,710.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,936.58 / $2,859.72 / $4,467.72	Professional		$1,936.58	$2,859.72	$4,467.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,697.08 / $2,669.85 / $5,238.04	Professional		$1,697.08	$2,669.85	$5,238.04
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 $1,731.05 / $2,348.26 / $4,286.52	Professional		$1,731.05	$2,348.26	$4,286.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,207.51 / $1,328.26 / $1,690.51	Professional		$1,207.51	$1,328.26	$1,690.51