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 / $10,296.00	Facility		$100.00	$2,331.21	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,056.85 / $3,444.51 / $4,232.00	Professional		$3,056.85	$3,444.51	$4,232.00
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 $2,987.20 / $5,144.17 / $7,548.01	Professional		$2,987.20	$5,144.17	$7,548.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.87 / $5,257.46 / $5,441.47	Facility		$3,467.87	$5,257.46	$5,441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,671.60 / $5,336.50 / $8,324.19	Professional		$3,671.60	$5,336.50	$8,324.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,419.72 / $5,379.90 / $10,554.97	Professional		$3,419.72	$5,379.90	$10,554.97
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 $3,336.04 / $4,187.67 / $8,781.21	Professional		$3,336.04	$4,187.67	$8,781.21
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,361.52 / $2,597.67 / $3,306.13	Professional		$2,361.52	$2,597.67	$3,306.13