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 $1,164.76 / $1,332.61 / $1,967.96	Professional		$1,164.76	$1,332.61	$1,967.96
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 $1,257.31 / $2,156.05 / $3,213.79	Professional		$1,257.31	$2,156.05	$3,213.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,449.04 / $1,449.04 / $1,449.04	Facility		$1,449.04	$1,449.04	$1,449.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.13 / $2,266.42 / $3,728.69	Professional		$1,618.13	$2,266.42	$3,728.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,439.36 / $2,264.40 / $4,442.58	Professional		$1,439.36	$2,264.40	$4,442.58
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 $1,465.51 / $1,880.51 / $3,849.75	Professional		$1,465.51	$1,880.51	$3,849.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,007.20 / $1,107.92 / $1,410.08	Professional		$1,007.20	$1,107.92	$1,410.08