Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,343.14 / $9,859.00	Facility		$100.00	$3,343.14	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,821.39 / $2,151.67 / $2,642.49	Professional		$1,821.39	$2,151.67	$2,642.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34,495.37 / $74,732.42 / $90,489.02	Facility		$34,495.37	$74,732.42	$90,489.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,962.79 / $3,365.81 / $5,017.05	Professional		$1,962.79	$3,365.81	$5,017.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,274.10 / $2,274.10 / $2,274.10	Facility		$2,274.10	$2,274.10	$2,274.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,577.29 / $3,759.32 / $5,907.33	Professional		$2,577.29	$3,759.32	$5,907.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,246.98 / $3,534.95 / $6,935.30	Professional		$2,246.98	$3,534.95	$6,935.30
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 $2,285.05 / $3,040.53 / $6,181.51	Professional		$2,285.05	$3,040.53	$6,181.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,608.48 / $1,769.33 / $2,251.87	Professional		$1,608.48	$1,769.33	$2,251.87