Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,713.37 / $5,600.83	Facility		$100.00	$2,713.37	$5,600.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,485.17 / $1,668.12 / $2,132.29	Professional		$1,485.17	$1,668.12	$2,132.29
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 $1,591.12 / $2,728.48 / $4,067.05	Professional		$1,591.12	$2,728.48	$4,067.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,838.16 / $1,838.16 / $1,838.16	Facility		$1,838.16	$1,838.16	$1,838.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,127.13 / $3,087.08 / $4,764.96	Professional		$2,127.13	$3,087.08	$4,764.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,821.51 / $2,865.60 / $5,622.09	Professional		$1,821.51	$2,865.60	$5,622.09
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 $1,821.51 / $2,453.42 / $4,894.72	Professional		$1,821.51	$2,453.42	$4,894.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,279.79 / $1,407.77 / $1,791.71	Professional		$1,279.79	$1,407.77	$1,791.71