Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,861.69 / $9,859.00	Facility		$100.00	$3,861.69	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,733.00 / $2,100.67 / $3,107.51	Professional		$1,733.00	$2,100.67	$3,107.51
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 $2,290.78 / $3,825.09 / $5,855.43	Professional		$2,290.78	$3,825.09	$5,855.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,653.28 / $2,653.28 / $2,653.28	Facility		$2,653.28	$2,653.28	$2,653.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,826.92 / $4,189.89 / $6,787.71	Professional		$2,826.92	$4,189.89	$6,787.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,622.46 / $4,302.41 / $8,094.22	Professional		$2,622.46	$4,302.41	$8,094.22
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 $2,442.71 / $3,419.81 / $6,952.59	Professional		$2,442.71	$3,419.81	$6,952.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,803.91 / $1,984.30 / $2,525.46	Professional		$1,803.91	$1,984.30	$2,525.46