Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,747.62 / $4,747.62	Facility		$100.00	$4,747.62	$4,747.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.19 / $1,389.34 / $1,785.47	Professional		$1,318.19	$1,389.34	$1,785.47
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 $1,346.91 / $2,405.17 / $3,865.33	Professional		$1,346.91	$2,405.17	$3,865.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,327.72 / $2,542.54 / $4,133.59	Professional		$1,327.72	$2,542.54	$4,133.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,541.93 / $2,667.23 / $4,759.17	Professional		$1,541.93	$2,667.23	$4,759.17
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 $1,466.36 / $2,126.21 / $5,169.43	Professional		$1,466.36	$2,126.21	$5,169.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,084.44 / $1,192.88 / $1,518.22	Professional		$1,084.44	$1,192.88	$1,518.22