Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,565.57 / $9,859.00	Facility		$100.00	$2,565.57	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,413.64 / $1,595.49 / $2,012.46	Professional		$1,413.64	$1,595.49	$2,012.46
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 $1,504.44 / $2,506.44 / $3,845.47	Professional		$1,504.44	$2,506.44	$3,845.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,736.58 / $1,736.58 / $1,736.58	Facility		$1,736.58	$1,736.58	$1,736.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,628.31 / $2,708.31 / $4,499.71	Professional		$1,628.31	$2,708.31	$4,499.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,722.27 / $2,709.48 / $5,315.79	Professional		$1,722.27	$2,709.48	$5,315.79
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 $1,366.37 / $2,280.57 / $3,760.72	Professional		$1,366.37	$2,280.57	$3,760.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,212.28 / $1,333.51 / $1,697.19	Professional		$1,212.28	$1,333.51	$1,697.19