Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,340.94 / $9,859.00	Facility		$100.00	$2,340.94	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,282.52 / $1,486.71 / $1,836.28	Professional		$1,282.52	$1,486.71	$1,836.28
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 $1,372.46 / $2,339.09 / $3,508.14	Professional		$1,372.46	$2,339.09	$3,508.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.46 / $1,584.46 / $1,584.46	Facility		$1,584.46	$1,584.46	$1,584.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,790.13 / $2,628.82 / $4,107.00	Professional		$1,790.13	$2,628.82	$4,107.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,571.18 / $2,471.78 / $4,849.45	Professional		$1,571.18	$2,471.78	$4,849.45
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 $1,547.09 / $2,142.60 / $4,220.33	Professional		$1,547.09	$2,142.60	$4,220.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,103.66 / $1,214.03 / $1,545.12	Professional		$1,103.66	$1,214.03	$1,545.12