Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,630.77 / $9,859.00	Facility		$100.00	$2,630.77	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,451.46 / $1,660.13 / $2,069.91	Professional		$1,451.46	$1,660.13	$2,069.91
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 $1,531.28 / $2,625.87 / $3,914.10	Professional		$1,531.28	$2,625.87	$3,914.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.39 / $1,765.39 / $1,765.39	Facility		$1,765.39	$1,765.39	$1,765.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,079.92 / $2,987.34 / $4,667.12	Professional		$2,079.92	$2,987.34	$4,667.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,753.00 / $2,757.82 / $5,410.63	Professional		$1,753.00	$2,757.82	$5,410.63
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 $1,800.89 / $2,481.94 / $4,488.58	Professional		$1,800.89	$2,481.94	$4,488.58
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,283.23 / $1,411.55 / $1,796.52	Professional		$1,283.23	$1,411.55	$1,796.52