Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,291.27 / $9,859.00	Facility		$100.00	$3,291.27	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,763.63 / $2,179.65 / $2,624.25	Professional		$1,763.63	$2,179.65	$2,624.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,550.00 / $51,903.94 / $90,489.02	Facility		$26,550.00	$51,903.94	$90,489.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,948.55 / $3,246.36 / $4,980.68	Professional		$1,948.55	$3,246.36	$4,980.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,248.63 / $2,248.63 / $2,248.63	Facility		$2,248.63	$2,248.63	$2,248.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,516.85 / $3,478.99 / $5,772.96	Professional		$2,516.85	$3,478.99	$5,772.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,230.69 / $3,659.67 / $6,885.02	Professional		$2,230.69	$3,659.67	$6,885.02
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,236.21 / $2,887.33 / $5,533.77	Professional		$2,236.21	$2,887.33	$5,533.77
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,525.74 / $1,678.31 / $2,136.04	Professional		$1,525.74	$1,678.31	$2,136.04