Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,912.12 / $9,859.00	Facility		$100.00	$2,912.12	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,583.31 / $1,930.87 / $2,719.22	Professional		$1,583.31	$1,930.87	$2,719.22
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 $1,709.19 / $2,930.94 / $4,368.83	Professional		$1,709.19	$2,930.94	$4,368.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,977.73 / $1,977.73 / $1,977.73	Facility		$1,977.73	$1,977.73	$1,977.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,212.91 / $3,311.94 / $5,174.57	Professional		$2,212.91	$3,311.94	$5,174.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,956.67 / $3,210.11 / $6,039.26	Professional		$1,956.67	$3,210.11	$6,039.26
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 $1,694.66 / $2,627.45 / $4,918.85	Professional		$1,694.66	$2,627.45	$4,918.85
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,395.94 / $1,535.53 / $1,954.32	Professional		$1,395.94	$1,535.53	$1,954.32