Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,826.71 / $9,859.00	Facility		$100.00	$2,826.71	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,399.27 / $1,569.73 / $2,220.51	Professional		$1,399.27	$1,569.73	$2,220.51
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 $1,655.17 / $2,757.57 / $4,230.76	Professional		$1,655.17	$2,757.57	$4,230.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,911.01 / $1,911.01 / $1,911.01	Facility		$1,911.01	$1,911.01	$1,911.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,161.60 / $3,192.32 / $4,987.35	Professional		$2,161.60	$3,192.32	$4,987.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,894.83 / $2,980.95 / $5,848.39	Professional		$1,894.83	$2,980.95	$5,848.39
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 $1,922.91 / $2,582.98 / $4,746.57	Professional		$1,922.91	$2,582.98	$4,746.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,349.85 / $1,484.84 / $1,889.79	Professional		$1,349.85	$1,484.84	$1,889.79