Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,765.55 / $4,765.55	Facility		$100.00	$4,765.55	$4,765.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.33 / $1,361.99 / $1,671.20	Professional		$1,254.33	$1,361.99	$1,671.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $15,307.77 / $29,108.25	Facility		$4,769.10	$15,307.77	$29,108.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,260.22 / $2,253.17 / $3,616.54	Professional		$1,260.22	$2,253.17	$3,616.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,438.25 / $2,379.16 / $3,867.93	Professional		$1,438.25	$2,379.16	$3,867.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,442.69 / $2,495.57 / $4,452.85	Professional		$1,442.69	$2,495.57	$4,452.85
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 $1,373.11 / $1,989.15 / $4,836.18	Professional		$1,373.11	$1,989.15	$4,836.18
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,014.67 / $1,116.14 / $1,420.54	Professional		$1,014.67	$1,116.14	$1,420.54