Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,655.62 / $4,655.62	Facility		$100.00	$4,655.62	$4,655.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.32 / $1,350.64 / $1,758.48	Professional		$1,287.32	$1,350.64	$1,758.48
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 $1,326.21 / $2,368.19 / $3,805.91	Professional		$1,326.21	$2,368.19	$3,805.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,307.44 / $2,503.71 / $4,071.46	Professional		$1,307.44	$2,503.71	$4,071.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,518.23 / $2,626.23 / $4,686.02	Professional		$1,518.23	$2,626.23	$4,686.02
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 $1,467.53 / $2,021.85 / $3,961.02	Professional		$1,467.53	$2,021.85	$3,961.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,068.08 / $1,174.89 / $1,495.31	Professional		$1,068.08	$1,174.89	$1,495.31