Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,541.45 / $5,541.45	Facility		$100.00	$5,541.45	$5,541.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,406.64 / $1,557.87 / $1,902.77	Professional		$1,406.64	$1,557.87	$1,902.77
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 $1,424.22 / $2,554.78 / $4,087.18	Professional		$1,424.22	$2,554.78	$4,087.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,528.20 / $2,685.39 / $4,374.77	Professional		$1,528.20	$2,685.39	$4,374.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,630.43 / $2,820.32 / $5,032.32	Professional		$1,630.43	$2,820.32	$5,032.32
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 $1,732.15 / $2,264.48 / $4,283.41	Professional		$1,732.15	$2,264.48	$4,283.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,152.57 / $1,267.83 / $1,613.60	Professional		$1,152.57	$1,267.83	$1,613.60