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 / $4,728.83	Facility		$100.00	$2,331.21	$4,728.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,438.88 / $1,581.88 / $1,966.02	Professional		$1,438.88	$1,581.88	$1,966.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $20,162.41 / $35,151.03	Facility		$8,512.20	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,405.13 / $2,430.67 / $3,550.46	Professional		$1,405.13	$2,430.67	$3,550.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.57 / $5,257.46 / $5,441.47	Facility		$1,621.57	$5,257.46	$5,441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,726.24 / $2,506.98 / $3,797.92	Professional		$1,726.24	$2,506.98	$3,797.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,608.58 / $2,530.62 / $4,964.88	Professional		$1,608.58	$2,530.62	$4,964.88
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,555.50 / $2,118.07 / $4,006.44	Professional		$1,555.50	$2,118.07	$4,006.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,081.17 / $1,297.40 / $1,907.18	Professional		$1,081.17	$1,297.40	$1,907.18