Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,890.22 / $9,859.00	Facility		$100.00	$2,890.22	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,597.97 / $1,958.79 / $2,674.49	Professional		$1,597.97	$1,958.79	$2,674.49
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 $1,692.69 / $2,902.65 / $4,326.68	Professional		$1,692.69	$2,902.65	$4,326.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,952.89 / $1,952.89 / $1,952.89	Facility		$1,952.89	$1,952.89	$1,952.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,117.35 / $3,067.67 / $5,090.42	Professional		$2,117.35	$3,067.67	$5,090.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,937.78 / $3,048.52 / $5,980.96	Professional		$1,937.78	$3,048.52	$5,980.96
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 $1,988.80 / $2,589.87 / $4,848.50	Professional		$1,988.80	$2,589.87	$4,848.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,378.53 / $1,516.38 / $1,929.94	Professional		$1,378.53	$1,516.38	$1,929.94