Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,890.60 / $3,817.58	Facility		$100.00	$1,890.60	$3,817.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.44 / $1,162.08 / $1,470.15	Professional		$1,034.44	$1,162.08	$1,470.15
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 $1,106.90 / $1,898.12 / $2,829.32	Professional		$1,106.90	$1,898.12	$2,829.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.55 / $1,273.55 / $1,273.55	Facility		$1,273.55	$1,273.55	$1,273.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.76 / $2,008.00 / $3,309.71	Professional		$1,445.76	$2,008.00	$3,309.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,267.17 / $1,993.51 / $3,911.12	Professional		$1,267.17	$1,993.51	$3,911.12
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 $1,280.01 / $1,725.08 / $3,200.99	Professional		$1,280.01	$1,725.08	$3,200.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $886.73 / $975.40 / $1,241.42	Professional		$886.73	$975.40	$1,241.42