Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.69 / $1,282.73 / $1,643.21	Professional		$1,151.69	$1,282.73	$1,643.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,613.70 / $31,793.00 / $50,515.00	Facility		$28,613.70	$31,793.00	$50,515.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.02 / $2,134.96 / $3,182.38	Professional		$1,245.02	$2,134.96	$3,182.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,431.77 / $2,472.40 / $2,558.92	Facility		$1,431.77	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,562.36 / $2,381.10 / $3,719.98	Professional		$1,562.36	$2,381.10	$3,719.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,425.28 / $2,338.31 / $4,399.13	Professional		$1,425.28	$2,338.31	$4,399.13
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 $1,408.31 / $1,925.89 / $3,481.13	Professional		$1,408.31	$1,925.89	$3,481.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $991.03 / $1,090.13 / $1,387.44	Professional		$991.03	$1,090.13	$1,387.44