Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,933.34 / $3,933.34	Facility		$100.00	$3,933.34	$3,933.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.23 / $1,194.34 / $1,448.60	Professional		$931.23	$1,194.34	$1,448.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,476.90 / $9,132.04 / $17,364.89	Facility		$3,476.90	$9,132.04	$17,364.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,135.69 / $1,917.33 / $3,261.64	Professional		$1,135.69	$1,917.33	$3,261.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.66 / $2,142.98 / $3,484.17	Professional		$1,026.66	$2,142.98	$3,484.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,300.11 / $2,248.94 / $4,012.82	Professional		$1,300.11	$2,248.94	$4,012.82
United Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $3,360.00 / $7,448.00	Facility		$451.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,233.00 / $1,794.40 / $2,972.62	Professional		$1,233.00	$1,794.40	$2,972.62
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $914.90 / $1,006.39 / $1,280.85	Professional		$914.90	$1,006.39	$1,280.85