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 $1,085.58 / $1,329.76 / $1,822.59	Professional		$1,085.58	$1,329.76	$1,822.59
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 $1,165.44 / $1,998.52 / $2,978.99	Professional		$1,165.44	$1,998.52	$2,978.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,342.78 / $1,342.78 / $1,342.78	Facility		$1,342.78	$1,342.78	$1,342.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.75 / $2,233.67 / $3,489.67	Professional		$1,521.75	$2,233.67	$3,489.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,334.19 / $2,098.94 / $4,117.97	Professional		$1,334.19	$2,098.94	$4,117.97
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 $1,360.04 / $1,755.40 / $3,369.47	Professional		$1,360.04	$1,755.40	$3,369.47
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $934.21 / $1,027.63 / $1,307.89	Professional		$934.21	$1,027.63	$1,307.89