Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,572.31 / $9,859.00	Facility		$100.00	$3,572.31	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,980.45 / $2,260.38 / $2,832.72	Professional		$1,980.45	$2,260.38	$2,832.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,458.00 / $51,903.94 / $90,489.02	Facility		$9,458.00	$51,903.94	$90,489.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,098.64 / $3,598.78 / $5,364.31	Professional		$2,098.64	$3,598.78	$5,364.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,435.28 / $2,435.28 / $2,435.28	Facility		$2,435.28	$2,435.28	$2,435.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,788.97 / $4,018.67 / $6,278.36	Professional		$2,788.97	$4,018.67	$6,278.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,402.51 / $3,779.63 / $7,415.35	Professional		$2,402.51	$3,779.63	$7,415.35
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 $2,466.44 / $3,100.14 / $6,002.11	Professional		$2,466.44	$3,100.14	$6,002.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,701.11 / $1,871.22 / $2,381.55	Professional		$1,701.11	$1,871.22	$2,381.55