Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,628.80 / $7,973.64 / $22,680.00	Facility		$3,628.80	$7,973.64	$22,680.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,988.53 / $1,988.53 / $2,527.19	Professional		$1,988.53	$1,988.53	$2,527.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,329.80 / $6,271.99 / $16,132.93	Facility		$5,329.80	$6,271.99	$16,132.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $2,106.00 / $2,106.00	Professional		$1,296.00	$2,106.00	$2,106.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,993.68 / $12,244.28 / $13,985.23	Facility		$5,993.68	$12,244.28	$13,985.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,678.30 / $6,330.34 / $13,463.08	Professional		$1,678.30	$6,330.34	$13,463.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $4,702.54 / $10,672.88	Professional		$3,240.00	$4,702.54	$10,672.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,944.00 / $1,944.00	Professional		$1,360.80	$1,944.00	$1,944.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,393.90 / $2,875.00 / $4,222.84	Professional		$2,393.90	$2,875.00	$4,222.84