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 $1,714.35 / $1,873.95 / $2,225.03	Professional		$1,714.35	$1,873.95	$2,225.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $20,162.41 / $35,151.03	Facility		$8,512.20	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,629.62 / $2,794.49 / $4,165.45	Professional		$1,629.62	$2,794.49	$4,165.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,894.69 / $1,894.69 / $1,894.69	Facility		$1,894.69	$1,894.69	$1,894.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,166.41 / $3,205.44 / $5,014.02	Professional		$2,166.41	$3,205.44	$5,014.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,865.57 / $2,934.91 / $5,758.08	Professional		$1,865.57	$2,934.91	$5,758.08
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,993.45 / $2,802.76 / $5,285.40	Professional		$1,993.45	$2,802.76	$5,285.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,381.91 / $1,520.10 / $1,934.67	Professional		$1,381.91	$1,520.10	$1,934.67