Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,200.00 / $9,228.75 / $26,250.00	Facility		$4,200.00	$9,228.75	$26,250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,044.21 / $2,044.21 / $2,925.00	Professional		$2,044.21	$2,044.21	$2,925.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,168.75 / $7,259.25 / $18,672.38	Facility		$6,168.75	$7,259.25	$18,672.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,437.50 / $2,437.50	Professional		$1,500.00	$2,437.50	$2,437.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,937.13 / $14,171.63 / $16,187.13	Facility		$6,937.13	$14,171.63	$16,187.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,942.48 / $7,326.43 / $15,581.52	Professional		$1,942.48	$7,326.43	$15,581.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $5,442.75 / $12,352.88	Professional		$3,750.00	$5,442.75	$12,352.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,575.00 / $2,250.00 / $2,250.00	Professional		$1,575.00	$2,250.00	$2,250.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,770.72 / $3,236.20 / $4,887.55	Professional		$2,770.72	$3,236.20	$4,887.55