Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,144.75 / $1,234.57 / $1,406.40	Professional		$1,144.75	$1,234.57	$1,406.40
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 $1,061.29 / $1,819.92 / $2,815.98	Professional		$1,061.29	$1,819.92	$2,815.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,221.35 / $1,221.35 / $1,221.35	Facility		$1,221.35	$1,221.35	$1,221.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,394.27 / $2,042.69 / $3,235.88	Professional		$1,394.27	$2,042.69	$3,235.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,214.95 / $1,993.25 / $3,749.94	Professional		$1,214.95	$1,993.25	$3,749.94
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 $1,253.97 / $1,671.14 / $3,137.86	Professional		$1,253.97	$1,671.14	$3,137.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $845.80 / $930.38 / $1,184.11	Professional		$845.80	$930.38	$1,184.11