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 $1,141.47 / $1,274.74 / $1,637.21	Professional		$1,141.47	$1,274.74	$1,637.21
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 $1,225.93 / $2,055.28 / $3,133.61	Professional		$1,225.93	$2,055.28	$3,133.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,413.76 / $1,413.76 / $1,413.76	Facility		$1,413.76	$1,413.76	$1,413.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,523.27 / $2,211.56 / $3,669.82	Professional		$1,523.27	$2,211.56	$3,669.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,403.44 / $2,207.89 / $4,331.72	Professional		$1,403.44	$2,207.89	$4,331.72
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 $1,370.63 / $1,920.16 / $3,769.15	Professional		$1,370.63	$1,920.16	$3,769.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $985.98 / $1,084.58 / $1,380.37	Professional		$985.98	$1,084.58	$1,380.37