Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,114.84 / $6,114.84	Facility		$100.00	$6,114.84	$6,114.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,521.49 / $1,695.99 / $2,039.24	Professional		$1,521.49	$1,695.99	$2,039.24
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 $1,518.67 / $2,724.19 / $4,358.22	Professional		$1,518.67	$2,724.19	$4,358.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,600.67 / $2,905.91 / $4,665.14	Professional		$1,600.67	$2,905.91	$4,665.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,738.56 / $3,007.36 / $5,366.07	Professional		$1,738.56	$3,007.36	$5,366.07
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 $1,934.59 / $2,444.59 / $4,602.06	Professional		$1,934.59	$2,444.59	$4,602.06
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,236.18 / $1,359.80 / $1,730.65	Professional		$1,236.18	$1,359.80	$1,730.65