Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,823.03 / $9,859.00	Facility		$100.00	$3,823.03	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.61 / $2,372.91 / $3,012.92	Professional		$2,089.61	$2,372.91	$3,012.92
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 $2,240.64 / $3,777.00 / $5,727.29	Professional		$2,240.64	$3,777.00	$5,727.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.29 / $2,592.29 / $2,592.29	Facility		$2,592.29	$2,592.29	$2,592.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,939.93 / $4,316.68 / $6,743.95	Professional		$2,939.93	$4,316.68	$6,743.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,565.07 / $4,035.37 / $7,917.09	Professional		$2,565.07	$4,035.37	$7,917.09
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 $2,592.96 / $3,261.17 / $6,300.10	Professional		$2,592.96	$3,261.17	$6,300.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,831.34 / $2,014.47 / $2,563.88	Professional		$1,831.34	$2,014.47	$2,563.88