Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,947.07 / $9,859.00	Facility		$100.00	$2,947.07	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,626.35 / $1,837.64 / $2,319.19	Professional		$1,626.35	$1,837.64	$2,319.19
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 $1,729.24 / $2,956.09 / $4,420.09	Professional		$1,729.24	$2,956.09	$4,420.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,999.50 / $1,999.50 / $1,999.50	Facility		$1,999.50	$1,999.50	$1,999.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,809.49 / $3,109.74 / $5,172.89	Professional		$1,809.49	$3,109.74	$5,172.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,979.62 / $3,114.34 / $6,110.10	Professional		$1,979.62	$3,114.34	$6,110.10
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 $1,519.83 / $2,814.38 / $5,340.28	Professional		$1,519.83	$2,814.38	$5,340.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,395.45 / $1,535.00 / $1,953.63	Professional		$1,395.45	$1,535.00	$1,953.63