Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,563.89 / $4,563.89	Facility		$100.00	$4,563.89	$4,563.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,276.66 / $1,330.37 / $2,339.33	Professional		$1,276.66	$1,330.37	$2,339.33
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 $1,304.53 / $2,329.50 / $3,743.72	Professional		$1,304.53	$2,329.50	$3,743.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,286.09 / $2,462.92 / $4,004.71	Professional		$1,286.09	$2,462.92	$4,004.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,493.42 / $2,583.32 / $4,609.43	Professional		$1,493.42	$2,583.32	$4,609.43
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 $1,439.10 / $2,066.28 / $3,895.23	Professional		$1,439.10	$2,066.28	$3,895.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,050.41 / $1,155.45 / $1,470.57	Professional		$1,050.41	$1,155.45	$1,470.57