Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,704.80 / $9,859.00	Facility		$100.00	$2,704.80	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,582.30 / $1,755.21 / $2,088.85	Professional		$1,582.30	$1,755.21	$2,088.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,334.70 / $11,483.00 / $21,862.00	Facility		$10,334.70	$11,483.00	$21,862.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,575.60 / $2,701.86 / $4,027.37	Professional		$1,575.60	$2,701.86	$4,027.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.47 / $2,862.32 / $2,962.50	Facility		$1,877.47	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,104.00 / $3,113.26 / $4,946.14	Professional		$2,104.00	$3,113.26	$4,946.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,803.73 / $2,959.20 / $5,567.21	Professional		$1,803.73	$2,959.20	$5,567.21
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 $1,905.22 / $2,591.42 / $4,776.34	Professional		$1,905.22	$2,591.42	$4,776.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,293.14 / $1,422.45 / $1,810.40	Professional		$1,293.14	$1,422.45	$1,810.40