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 / $3,769.40	Facility		$100.00	$2,331.21	$3,769.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,064.29 / $1,172.14 / $1,516.99	Professional		$1,064.29	$1,172.14	$1,516.99
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 $964.57 / $1,668.58 / $2,437.27	Professional		$964.57	$1,668.58	$2,437.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.78 / $1,123.78 / $1,123.78	Facility		$1,123.78	$1,123.78	$1,123.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,251.72 / $1,799.18 / $2,829.00	Professional		$1,251.72	$1,799.18	$2,829.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,104.23 / $1,737.17 / $3,408.21	Professional		$1,104.23	$1,737.17	$3,408.21
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 $1,123.10 / $1,484.71 / $2,832.59	Professional		$1,123.10	$1,484.71	$2,832.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $784.98 / $863.48 / $1,098.97	Professional		$784.98	$863.48	$1,098.97