Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,318.67 / $4,703.41	Facility		$100.00	$2,318.67	$4,703.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.76 / $1,435.85 / $1,816.45	Professional		$1,269.76	$1,435.85	$1,816.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $36,315.22 / $63,311.75	Facility		$3,669.00	$36,315.22	$63,311.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,359.20 / $2,330.77 / $3,474.23	Professional		$1,359.20	$2,330.77	$3,474.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,568.44 / $1,568.44 / $1,568.44	Facility		$1,568.44	$1,568.44	$1,568.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,773.11 / $2,604.59 / $4,069.15	Professional		$1,773.11	$2,604.59	$4,069.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,556.00 / $2,447.90 / $4,802.59	Professional		$1,556.00	$2,447.90	$4,802.59
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 $1,532.25 / $2,158.10 / $4,177.13	Professional		$1,532.25	$2,158.10	$4,177.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,092.54 / $1,201.79 / $1,529.56	Professional		$1,092.54	$1,201.79	$1,529.56