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 $1,114.29 / $1,253.79 / $1,600.06	Professional		$1,114.29	$1,253.79	$1,600.06
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 $1,199.73 / $2,028.69 / $3,066.63	Professional		$1,199.73	$2,028.69	$3,066.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,382.39 / $1,382.39 / $1,382.39	Facility		$1,382.39	$1,382.39	$1,382.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,566.23 / $2,163.71 / $3,590.42	Professional		$1,566.23	$2,163.71	$3,590.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,373.44 / $2,160.69 / $4,239.12	Professional		$1,373.44	$2,160.69	$4,239.12
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 $1,396.93 / $1,808.02 / $3,675.76	Professional		$1,396.93	$1,808.02	$3,675.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $962.07 / $1,058.28 / $1,346.90	Professional		$962.07	$1,058.28	$1,346.90