Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,014.43 / $4,014.43	Facility		$100.00	$4,014.43	$4,014.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,074.95 / $1,163.42 / $1,406.32	Professional		$1,074.95	$1,163.42	$1,406.32
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 $1,068.73 / $1,914.59 / $3,067.00	Professional		$1,068.73	$1,914.59	$3,067.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.83 / $2,034.64 / $3,318.87	Professional		$1,068.83	$2,034.64	$3,318.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,223.47 / $2,116.36 / $3,776.24	Professional		$1,223.47	$2,116.36	$3,776.24
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 $1,225.21 / $1,609.60 / $3,136.86	Professional		$1,225.21	$1,609.60	$3,136.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $851.03 / $936.13 / $1,191.44	Professional		$851.03	$936.13	$1,191.44