Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,961.91 / $9,859.00	Facility		$100.00	$2,961.91	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,433.46 / $1,616.12 / $2,339.55	Professional		$1,433.46	$1,616.12	$2,339.55
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 $1,749.95 / $3,000.84 / $4,473.03	Professional		$1,749.95	$3,000.84	$4,473.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,012.44 / $2,012.44 / $2,012.44	Facility		$2,012.44	$2,012.44	$2,012.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,156.25 / $3,125.46 / $5,186.32	Professional		$2,156.25	$3,125.46	$5,186.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,003.32 / $3,151.62 / $6,183.25	Professional		$2,003.32	$3,151.62	$6,183.25
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 $1,837.21 / $2,388.37 / $4,996.78	Professional		$1,837.21	$2,388.37	$4,996.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,361.59 / $1,497.75 / $1,906.23	Professional		$1,361.59	$1,497.75	$1,906.23