Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,757.62 / $9,859.00	Facility		$100.00	$2,757.62	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.30 / $1,830.81 / $2,533.84	Professional		$1,513.30	$1,830.81	$2,533.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,616.68 / $2,693.44 / $4,132.38	Professional		$1,616.68	$2,693.44	$4,132.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,865.42 / $1,865.42 / $1,865.42	Facility		$1,865.42	$1,865.42	$1,865.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,154.13 / $3,095.23 / $4,835.67	Professional		$2,154.13	$3,095.23	$4,835.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,850.76 / $3,036.36 / $5,712.37	Professional		$1,850.76	$3,036.36	$5,712.37
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 $1,850.76 / $2,531.79 / $4,969.72	Professional		$1,850.76	$2,531.79	$4,969.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,299.76 / $1,429.74 / $1,819.66	Professional		$1,299.76	$1,429.74	$1,819.66