Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,641.00 / $9,859.00	Facility		$100.00	$2,641.00	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,454.28 / $1,643.25 / $2,075.54	Professional		$1,454.28	$1,643.25	$2,075.54
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 $1,549.07 / $2,654.75 / $3,959.57	Professional		$1,549.07	$2,654.75	$3,959.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,790.02 / $1,790.02 / $1,790.02	Facility		$1,790.02	$1,790.02	$1,790.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,918.41 / $2,793.73 / $4,635.85	Professional		$1,918.41	$2,793.73	$4,635.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,773.37 / $2,789.87 / $5,473.51	Professional		$1,773.37	$2,789.87	$5,473.51
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 $1,678.75 / $2,350.25 / $4,455.13	Professional		$1,678.75	$2,350.25	$4,455.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,248.94 / $1,373.83 / $1,748.52	Professional		$1,248.94	$1,373.83	$1,748.52