Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,954.43 / $4,954.43	Facility		$100.00	$4,954.43	$4,954.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,289.55 / $1,410.66 / $1,718.87	Professional		$1,289.55	$1,410.66	$1,718.87
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 $1,291.92 / $2,317.46 / $3,707.51	Professional		$1,291.92	$2,317.46	$3,707.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,465.96 / $2,436.39 / $3,966.14	Professional		$1,465.96	$2,436.39	$3,966.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,478.98 / $2,558.34 / $4,564.87	Professional		$1,478.98	$2,558.34	$4,564.87
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 $1,385.43 / $1,976.27 / $3,871.72	Professional		$1,385.43	$1,976.27	$3,871.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,043.06 / $1,147.36 / $1,460.28	Professional		$1,043.06	$1,147.36	$1,460.28