Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,109.34 / $9,859.00	Facility		$100.00	$4,109.34	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,167.13 / $2,234.65 / $3,241.96	Professional		$2,167.13	$2,234.65	$3,241.96
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 $2,408.84 / $4,130.72 / $6,157.23	Professional		$2,408.84	$4,130.72	$6,157.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,789.24 / $2,789.24 / $2,789.24	Facility		$2,789.24	$2,789.24	$2,789.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,167.14 / $4,640.41 / $7,249.69	Professional		$3,167.14	$4,640.41	$7,249.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,757.62 / $4,338.29 / $8,511.39	Professional		$2,757.62	$4,338.29	$8,511.39
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 $2,808.37 / $3,970.28 / $7,533.60	Professional		$2,808.37	$3,970.28	$7,533.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,970.60 / $2,167.66 / $2,758.84	Professional		$1,970.60	$2,167.66	$2,758.84