Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,767.05 / $4,767.05	Facility		$100.00	$4,767.05	$4,767.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,284.79 / $1,362.28 / $1,689.67	Professional		$1,284.79	$1,362.28	$1,689.67
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 $1,275.75 / $2,288.44 / $3,661.09	Professional		$1,275.75	$2,288.44	$3,661.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,396.84 / $2,408.89 / $3,912.89	Professional		$1,396.84	$2,408.89	$3,912.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,460.46 / $2,526.30 / $4,507.71	Professional		$1,460.46	$2,526.30	$4,507.71
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 $1,373.93 / $2,012.14 / $3,806.06	Professional		$1,373.93	$2,012.14	$3,806.06
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,026.58 / $1,129.24 / $1,437.21	Professional		$1,026.58	$1,129.24	$1,437.21