Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,899.65 / $3,899.65	Facility		$100.00	$3,899.65	$3,899.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.16 / $1,116.27 / $1,368.87	Professional		$1,031.16	$1,116.27	$1,368.87
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 $1,033.15 / $1,853.27 / $2,964.90	Professional		$1,033.15	$1,853.27	$2,964.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.56 / $1,951.02 / $3,170.27	Professional		$1,019.56	$1,951.02	$3,170.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,182.74 / $2,045.90 / $3,650.53	Professional		$1,182.74	$2,045.90	$3,650.53
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 $1,064.29 / $1,629.10 / $3,081.53	Professional		$1,064.29	$1,629.10	$3,081.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $831.28 / $914.41 / $1,163.79	Professional		$831.28	$914.41	$1,163.79