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 / $4,150.67	Facility		$100.00	$2,331.21	$4,150.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.33 / $1,570.01 / $1,920.02	Professional		$1,401.33	$1,570.01	$1,920.02
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 $1,375.05 / $2,378.65 / $3,474.46	Professional		$1,375.05	$2,378.65	$3,474.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,585.07 / $5,257.46 / $5,441.47	Facility		$1,585.07	$5,257.46	$5,441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,691.41 / $2,404.42 / $3,775.97	Professional		$1,691.41	$2,404.42	$3,775.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,574.15 / $2,476.44 / $4,858.60	Professional		$1,574.15	$2,476.44	$4,858.60
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 $1,590.76 / $2,178.44 / $3,983.30	Professional		$1,590.76	$2,178.44	$3,983.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,074.78 / $1,182.26 / $1,504.69	Professional		$1,074.78	$1,182.26	$1,504.69