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 $1,282.53 / $1,422.41 / $1,902.67	Professional		$1,282.53	$1,422.41	$1,902.67
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 $1,356.29 / $2,325.78 / $3,598.71	Professional		$1,356.29	$2,325.78	$3,598.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.24 / $1,576.24 / $1,576.24	Facility		$1,576.24	$1,576.24	$1,576.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,774.50 / $2,638.29 / $4,121.79	Professional		$1,774.50	$2,638.29	$4,121.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,552.67 / $2,442.66 / $4,792.32	Professional		$1,552.67	$2,442.66	$4,792.32
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 $1,594.83 / $2,252.04 / $4,135.39	Professional		$1,594.83	$2,252.04	$4,135.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,083.52 / $1,191.86 / $1,516.93	Professional		$1,083.52	$1,191.86	$1,516.93