Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,435.56 / $10,024.70	Facility		$100.00	$5,435.56	$10,024.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,505.23 / $3,375.27 / $4,310.67	Professional		$2,505.23	$3,375.27	$4,310.67
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 $3,185.48 / $5,462.52 / $8,142.38	Professional		$3,185.48	$5,462.52	$8,142.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,690.11 / $3,690.11 / $3,690.11	Facility		$3,690.11	$3,690.11	$3,690.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,967.83 / $5,933.56 / $9,626.70	Professional		$3,967.83	$5,933.56	$9,626.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,646.71 / $5,737.00 / $11,255.57	Professional		$3,646.71	$5,737.00	$11,255.57
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,462.90 / $4,595.87 / $9,856.28	Professional		$3,462.90	$4,595.87	$9,856.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,579.21 / $2,837.13 / $3,610.89	Professional		$2,579.21	$2,837.13	$3,610.89