Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,285.39 / $2,331.21	Facility		$100.00	$2,285.39	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.60 / $1,427.03 / $1,602.75	Professional		$1,281.60	$1,427.03	$1,602.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,300.00	Facility		$8,512.20	$9,458.00	$17,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,278.33 / $2,293.09 / $3,668.53	Professional		$1,278.33	$2,293.09	$3,668.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,468.51 / $2,472.33 / $3,929.01	Professional		$1,468.51	$2,472.33	$3,929.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,463.43 / $2,531.44 / $4,516.88	Professional		$1,463.43	$2,531.44	$4,516.88
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 $1,617.26 / $2,175.75 / $4,864.06	Professional		$1,617.26	$2,175.75	$4,864.06
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,039.58 / $1,143.55 / $1,455.43	Professional		$1,039.58	$1,143.55	$1,455.43