Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,231.60 / $5,231.60	Facility		$100.00	$5,231.60	$5,231.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,364.33 / $1,524.28 / $1,795.58	Professional		$1,364.33	$1,524.28	$1,795.58
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 $1,349.50 / $2,420.73 / $3,872.75	Professional		$1,349.50	$2,420.73	$3,872.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,491.60 / $2,544.44 / $4,140.82	Professional		$1,491.60	$2,544.44	$4,140.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,544.89 / $2,672.35 / $4,768.30	Professional		$1,544.89	$2,672.35	$4,768.30
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 $1,484.26 / $2,163.23 / $4,735.55	Professional		$1,484.26	$2,163.23	$4,735.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,090.27 / $1,199.30 / $1,526.38	Professional		$1,090.27	$1,199.30	$1,526.38