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 $1,077.24 / $1,214.68 / $1,530.90	Professional		$1,077.24	$1,214.68	$1,530.90
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 $1,149.92 / $1,971.89 / $2,939.29	Professional		$1,149.92	$1,971.89	$2,939.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.95 / $1,325.95 / $1,325.95	Facility		$1,325.95	$1,325.95	$1,325.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,504.86 / $2,089.00 / $3,443.71	Professional		$1,504.86	$2,089.00	$3,443.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,316.42 / $2,070.98 / $4,063.13	Professional		$1,316.42	$2,070.98	$4,063.13
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 $1,334.69 / $1,803.02 / $3,259.03	Professional		$1,334.69	$1,803.02	$3,259.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $925.60 / $1,018.16 / $1,295.83	Professional		$925.60	$1,018.16	$1,295.83