Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,740.94 / $9,859.00	Facility		$100.00	$2,740.94	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,510.24 / $1,683.11 / $2,156.30	Professional		$1,510.24	$1,683.11	$2,156.30
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 $1,607.94 / $2,757.33 / $4,110.05	Professional		$1,607.94	$2,757.33	$4,110.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,859.26 / $1,859.26 / $1,859.26	Facility		$1,859.26	$1,859.26	$1,859.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,071.67 / $2,900.88 / $4,813.66	Professional		$2,071.67	$2,900.88	$4,813.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,840.76 / $2,895.88 / $5,681.51	Professional		$1,840.76	$2,895.88	$5,681.51
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 $1,869.60 / $2,528.84 / $4,963.95	Professional		$1,869.60	$2,528.84	$4,963.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,297.30 / $1,427.03 / $1,816.22	Professional		$1,297.30	$1,427.03	$1,816.22