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 $1,190.88 / $1,346.40 / $1,695.26	Professional		$1,190.88	$1,346.40	$1,695.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $20,162.41 / $35,151.03	Facility		$3,669.00	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,271.22 / $2,167.48 / $3,249.36	Professional		$1,271.22	$2,167.48	$3,249.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,465.76 / $1,465.76 / $1,465.76	Facility		$1,465.76	$1,465.76	$1,465.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.00 / $2,293.11 / $3,805.14	Professional		$1,659.00	$2,293.11	$3,805.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,455.28 / $2,289.44 / $4,491.72	Professional		$1,455.28	$2,289.44	$4,491.72
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 $1,516.55 / $2,194.69 / $3,904.17	Professional		$1,516.55	$2,194.69	$3,904.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,021.52 / $1,123.67 / $1,430.13	Professional		$1,021.52	$1,123.67	$1,430.13