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 / $9,404.58	Facility		$100.00	$2,331.21	$9,404.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,654.09 / $3,167.41 / $3,889.90	Professional		$2,654.09	$3,167.41	$3,889.90
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 $2,752.69 / $4,740.33 / $6,955.45	Professional		$2,752.69	$4,740.33	$6,955.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,193.94 / $5,257.46 / $5,441.47	Facility		$3,193.94	$5,257.46	$5,441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,380.59 / $4,917.57 / $7,654.31	Professional		$3,380.59	$4,917.57	$7,654.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,151.25 / $4,957.55 / $9,726.33	Professional		$3,151.25	$4,957.55	$9,726.33
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 $3,119.63 / $4,415.96 / $8,289.57	Professional		$3,119.63	$4,415.96	$8,289.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,172.28 / $2,603.69 / $3,831.90	Professional		$2,172.28	$2,603.69	$3,831.90