Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,446.13 / $9,859.00	Facility		$100.00	$2,446.13	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,345.01 / $1,524.61 / $1,919.09	Professional		$1,345.01	$1,524.61	$1,919.09
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 $1,434.24 / $2,459.46 / $3,666.06	Professional		$1,434.24	$2,459.46	$3,666.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,656.40 / $1,656.40 / $1,656.40	Facility		$1,656.40	$1,656.40	$1,656.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.56 / $2,585.35 / $4,290.07	Professional		$1,870.56	$2,585.35	$4,290.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,641.91 / $2,583.05 / $5,067.76	Professional		$1,641.91	$2,583.05	$5,067.76
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 $1,680.69 / $2,327.78 / $9,463.12	Professional		$1,680.69	$2,327.78	$9,463.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,154.96 / $1,270.46 / $1,616.94	Professional		$1,154.96	$1,270.46	$1,616.94