Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,382.23 / $84,000.00	Facility		$1,000.00	$7,382.23	$84,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $9,360.00	Professional		$1,000.00	$1,000.00	$9,360.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,327.71 / $16,323.70 / $27,015.60	Facility		$8,327.71	$16,323.70	$27,015.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $7,800.00 / $8,808.00	Professional		$4,800.00	$7,800.00	$8,808.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22,198.80 / $49,208.65 / $51,798.18	Facility		$22,198.80	$49,208.65	$51,798.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $13,789.24 / $49,863.05	Professional		$1,000.00	$13,789.24	$49,863.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $12,000.00 / $17,416.80 / $39,529.19	Professional		$12,000.00	$17,416.80	$39,529.19
United Facility/Professional Professional Modifier Low / Median / High Price $5,040.00 / $7,200.00 / $7,200.00	Professional		$5,040.00	$7,200.00	$7,200.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,750.00 / $9,752.93	Professional		$3,000.00	$3,750.00	$9,752.93