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 / $3,895.01	Facility		$100.00	$2,331.21	$3,895.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,134.16 / $1,325.23 / $1,655.15	Professional		$1,134.16	$1,325.23	$1,655.15
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 $1,225.29 / $2,119.57 / $3,096.03	Professional		$1,225.29	$2,119.57	$3,096.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.80 / $5,257.46 / $5,441.47	Facility		$1,409.80	$5,257.46	$5,441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,507.97 / $2,027.90 / $3,151.84	Professional		$1,507.97	$2,027.90	$3,151.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,402.70 / $2,206.73 / $4,329.43	Professional		$1,402.70	$2,206.73	$4,329.43
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,352.92 / $1,697.15 / $3,105.35	Professional		$1,352.92	$1,697.15	$3,105.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $900.11 / $990.12 / $1,260.15	Professional		$900.11	$990.12	$1,260.15