Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,111.89 / $9,859.00	Facility		$100.00	$4,111.89	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,455.06 / $3,060.06 / $3,259.61	Professional		$2,455.06	$3,060.06	$3,259.61
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 $2,415.31 / $4,141.82 / $6,284.50	Professional		$2,415.31	$4,141.82	$6,284.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,802.44 / $2,802.44 / $2,802.44	Facility		$2,802.44	$2,802.44	$2,802.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,196.50 / $4,628.84 / $7,231.62	Professional		$3,196.50	$4,628.84	$7,231.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,765.03 / $4,349.95 / $8,534.27	Professional		$2,765.03	$4,349.95	$8,534.27
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 $2,752.08 / $3,820.11 / $7,498.62	Professional		$2,752.08	$3,820.11	$7,498.62
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,957.23 / $2,152.94 / $2,740.12	Professional		$1,957.23	$2,152.94	$2,740.12