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 $1,089.26 / $1,229.84 / $1,565.74	Professional		$1,089.26	$1,229.84	$1,565.74
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 $1,163.18 / $1,994.64 / $2,973.20	Professional		$1,163.18	$1,994.64	$2,973.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.78 / $1,346.78 / $1,346.78	Facility		$1,346.78	$1,346.78	$1,346.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.30 / $2,232.00 / $3,487.04	Professional		$1,551.30	$2,232.00	$3,487.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,331.60 / $2,094.87 / $4,109.97	Professional		$1,331.60	$2,094.87	$4,109.97
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,355.52 / $1,831.38 / $3,594.87	Professional		$1,355.52	$1,831.38	$3,594.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $939.23 / $1,033.15 / $1,314.92	Professional		$939.23	$1,033.15	$1,314.92