Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,652.00 / $9,859.00	Facility		$100.00	$4,652.00	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,581.73 / $2,949.38 / $3,698.36	Professional		$2,581.73	$2,949.38	$3,698.36
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 $2,733.93 / $4,683.81 / $6,988.18	Professional		$2,733.93	$4,683.81	$6,988.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,176.17 / $3,176.17 / $3,176.17	Facility		$3,176.17	$3,176.17	$3,176.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,382.64 / $4,932.91 / $8,185.56	Professional		$3,382.64	$4,932.91	$8,185.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,129.78 / $4,923.77 / $9,660.07	Professional		$3,129.78	$4,923.77	$9,660.07
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 $3,181.36 / $4,107.88 / $7,656.20	Professional		$3,181.36	$4,107.88	$7,656.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,219.36 / $2,441.30 / $3,107.10	Professional		$2,219.36	$2,441.30	$3,107.10