Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,419.61 / $1,607.69 / $2,015.15	Professional		$1,419.61	$1,607.69	$2,015.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,613.70 / $31,793.00 / $50,515.00	Facility		$28,613.70	$31,793.00	$50,515.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,507.35 / $2,584.82 / $3,852.91	Professional		$1,507.35	$2,584.82	$3,852.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,740.42 / $1,740.42 / $1,740.42	Facility		$1,740.42	$1,740.42	$1,740.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,016.28 / $2,886.24 / $4,515.71	Professional		$2,016.28	$2,886.24	$4,515.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,725.60 / $2,831.02 / $5,326.06	Professional		$1,725.60	$2,831.02	$5,326.06
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 $1,755.24 / $2,457.14 / $4,650.09	Professional		$1,755.24	$2,457.14	$4,650.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,216.07 / $1,337.68 / $1,702.50	Professional		$1,216.07	$1,337.68	$1,702.50