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 $1,121.85 / $1,244.53 / $1,589.26	Professional		$1,121.85	$1,244.53	$1,589.26
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 $1,198.44 / $2,055.10 / $3,063.31	Professional		$1,198.44	$2,055.10	$3,063.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,378.21 / $1,378.21 / $1,378.21	Facility		$1,378.21	$1,378.21	$1,378.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,525.93 / $2,292.92 / $3,582.24	Professional		$1,525.93	$2,292.92	$3,582.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,371.96 / $2,158.37 / $4,234.55	Professional		$1,371.96	$2,158.37	$4,234.55
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 $1,371.96 / $1,866.28 / $3,469.21	Professional		$1,371.96	$1,866.28	$3,469.21
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $959.60 / $1,055.56 / $1,343.44	Professional		$959.60	$1,055.56	$1,343.44