Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,032.00 / $8,859.60 / $25,200.00	Facility		$4,032.00	$8,859.60	$25,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,520.00 / $2,520.00 / $2,916.00	Professional		$2,520.00	$2,520.00	$2,916.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,922.00 / $6,968.88 / $17,925.48	Facility		$5,922.00	$6,968.88	$17,925.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $2,340.00 / $2,340.00	Professional		$1,440.00	$2,340.00	$2,340.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,500.52 / $13,160.19 / $15,792.66	Facility		$6,500.52	$13,160.19	$15,792.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,864.72 / $5,719.88 / $14,958.37	Professional		$1,864.72	$5,719.88	$14,958.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $5,225.04 / $11,858.76	Professional		$3,600.00	$5,225.04	$11,858.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,160.00 / $2,160.00	Professional		$1,512.00	$2,160.00	$2,160.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,660.04 / $3,225.74 / $4,692.31	Professional		$2,660.04	$3,225.74	$4,692.31