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 $1,099.48 / $1,257.59 / $1,712.39	Professional		$1,099.48	$1,257.59	$1,712.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $20,162.41 / $35,151.03	Facility		$3,669.00	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,286.74 / $2,195.44 / $3,289.04	Professional		$1,286.74	$2,195.44	$3,289.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,480.64 / $1,480.64 / $1,480.64	Facility		$1,480.64	$1,480.64	$1,480.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,682.20 / $2,475.83 / $3,867.98	Professional		$1,682.20	$2,475.83	$3,867.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,473.05 / $2,317.40 / $4,546.57	Professional		$1,473.05	$2,317.40	$4,546.57
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 $1,501.44 / $1,989.72 / $3,653.70	Professional		$1,501.44	$1,989.72	$3,653.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $953.20 / $1,048.52 / $1,334.48	Professional		$953.20	$1,048.52	$1,334.48