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 / $7,977.71	Facility		$100.00	$2,331.21	$7,977.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,525.17 / $2,857.42 / $3,485.96	Professional		$2,525.17	$2,857.42	$3,485.96
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 $2,470.63 / $4,254.60 / $6,242.75	Professional		$2,470.63	$4,254.60	$6,242.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,864.64 / $2,864.64 / $2,864.64	Facility		$2,864.64	$2,864.64	$2,864.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,035.77 / $4,414.16 / $6,852.98	Professional		$3,035.77	$4,414.16	$6,852.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,828.35 / $4,449.56 / $8,729.70	Professional		$2,828.35	$4,449.56	$8,729.70
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 $2,739.74 / $4,085.43 / $7,229.23	Professional		$2,739.74	$4,085.43	$7,229.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,945.82 / $2,140.40 / $2,724.15	Professional		$1,945.82	$2,140.40	$2,724.15