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 / $3,051.61	Facility		$100.00	$2,331.21	$3,051.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,105.01 / $1,235.33 / $1,512.25	Professional		$1,105.01	$1,235.33	$1,512.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $18,074.81 / $31,511.52	Facility		$5,299.00	$18,074.81	$31,511.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,084.90 / $1,859.82 / $2,741.32	Professional		$1,084.90	$1,859.82	$2,741.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,249.74 / $1,249.74 / $1,249.74	Facility		$1,249.74	$1,249.74	$1,249.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.48 / $1,898.66 / $2,974.87	Professional		$1,315.48	$1,898.66	$2,974.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,241.99 / $1,953.90 / $3,833.40	Professional		$1,241.99	$1,953.90	$3,833.40
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 $1,105.81 / $1,487.43 / $3,221.76	Professional		$1,105.81	$1,487.43	$3,221.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $847.25 / $931.98 / $1,186.15	Professional		$847.25	$931.98	$1,186.15