Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,400.29 / $9,859.00	Facility		$100.00	$3,400.29	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,879.32 / $2,189.23 / $2,655.55	Professional		$1,879.32	$2,189.23	$2,655.55
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 $1,990.28 / $3,412.96 / $5,087.33	Professional		$1,990.28	$3,412.96	$5,087.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,293.52 / $2,293.52 / $2,293.52	Facility		$2,293.52	$2,293.52	$2,293.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,576.00 / $3,829.31 / $5,982.52	Professional		$2,576.00	$3,829.31	$5,982.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,278.46 / $3,584.47 / $7,032.47	Professional		$2,278.46	$3,584.47	$7,032.47
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 $2,244.86 / $3,146.37 / $6,176.11	Professional		$2,244.86	$3,146.37	$6,176.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,617.98 / $1,779.78 / $2,265.17	Professional		$1,617.98	$1,779.78	$2,265.17