Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,635.70 / $9,859.00	Facility		$100.00	$2,635.70	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,402.74 / $1,588.04 / $2,039.33	Professional		$1,402.74	$1,588.04	$2,039.33
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 $1,535.81 / $2,567.08 / $3,925.67	Professional		$1,535.81	$2,567.08	$3,925.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,772.98 / $1,772.98 / $1,772.98	Facility		$1,772.98	$1,772.98	$1,772.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,075.77 / $3,030.00 / $4,654.22	Professional		$2,075.77	$3,030.00	$4,654.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,758.18 / $2,765.97 / $5,426.62	Professional		$1,758.18	$2,765.97	$5,426.62
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 $1,800.20 / $2,444.08 / $4,417.78	Professional		$1,800.20	$2,444.08	$4,417.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,261.24 / $1,387.36 / $1,765.74	Professional		$1,261.24	$1,387.36	$1,765.74