Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,867.14 / $9,859.00	Facility		$100.00	$3,867.14	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,628.85 / $2,150.46 / $3,099.55	Professional		$1,628.85	$2,150.46	$3,099.55
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 $2,291.75 / $3,929.93 / $5,857.92	Professional		$2,291.75	$3,929.93	$5,857.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,651.02 / $2,651.02 / $2,651.02	Facility		$2,651.02	$2,651.02	$2,651.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,804.59 / $4,134.96 / $6,793.94	Professional		$2,804.59	$4,134.96	$6,793.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,623.58 / $4,304.25 / $8,097.68	Professional		$2,623.58	$4,304.25	$8,097.68
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 $2,288.31 / $3,412.12 / $6,387.83	Professional		$2,288.31	$3,412.12	$6,387.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,801.36 / $1,981.50 / $2,521.90	Professional		$1,801.36	$1,981.50	$2,521.90