Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,670.80 / $9,859.00	Facility		$100.00	$2,670.80	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,379.11 / $1,604.92 / $2,109.23	Professional		$1,379.11	$1,604.92	$2,109.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $51,903.94 / $90,489.02	Facility		$3,669.00	$51,903.94	$90,489.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,567.83 / $2,688.55 / $4,007.53	Professional		$1,567.83	$2,688.55	$4,007.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.97 / $1,815.97 / $1,815.97	Facility		$1,815.97	$1,815.97	$1,815.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,042.37 / $2,826.98 / $4,691.03	Professional		$2,042.37	$2,826.98	$4,691.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,794.84 / $2,823.64 / $5,539.77	Professional		$1,794.84	$2,823.64	$5,539.77
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,825.53 / $2,557.19 / $4,498.77	Professional		$1,825.53	$2,557.19	$4,498.77
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,267.32 / $1,394.05 / $1,774.25	Professional		$1,267.32	$1,394.05	$1,774.25