Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,517.38 / $9,859.00	Facility		$100.00	$2,517.38	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,386.80 / $1,544.66 / $1,973.42	Professional		$1,386.80	$1,544.66	$1,973.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $20,162.41 / $35,151.03	Facility		$3,669.00	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,475.97 / $2,518.92 / $3,772.72	Professional		$1,475.97	$2,518.92	$3,772.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.48 / $1,703.48 / $1,703.48	Facility		$1,703.48	$1,703.48	$1,703.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.66 / $2,657.92 / $4,415.64	Professional		$1,428.66	$2,657.92	$4,415.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,689.68 / $2,658.20 / $5,215.20	Professional		$1,689.68	$2,658.20	$5,215.20
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,159.15 / $2,316.56 / $4,248.38	Professional		$1,159.15	$2,316.56	$4,248.38
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,189.08 / $1,307.99 / $1,664.71	Professional		$1,189.08	$1,307.99	$1,664.71