Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,581.98 / $9,859.00	Facility		$100.00	$2,581.98	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,420.94 / $1,610.14 / $2,023.38	Professional		$1,420.94	$1,610.14	$2,023.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,534.28 / $9,157.56 / $15,965.24	Facility		$3,534.28	$9,157.56	$15,965.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.82 / $2,592.42 / $3,869.45	Professional		$1,513.82	$2,592.42	$3,869.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $1,747.00 / $1,747.00	Facility		$1,747.00	$1,747.00	$1,747.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.50 / $2,728.05 / $4,526.87	Professional		$1,961.50	$2,728.05	$4,526.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,733.00 / $2,726.36 / $5,348.90	Professional		$1,733.00	$2,726.36	$5,348.90
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,757.28 / $2,374.42 / $4,357.71	Professional		$1,757.28	$2,374.42	$4,357.71
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,218.78 / $1,340.66 / $1,706.29	Professional		$1,218.78	$1,340.66	$1,706.29