Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,786.99 / $5,786.99	Facility		$100.00	$5,786.99	$5,786.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,453.87 / $1,584.29 / $1,971.61	Professional		$1,453.87	$1,584.29	$1,971.61
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 $1,484.38 / $2,650.64 / $4,259.83	Professional		$1,484.38	$2,650.64	$4,259.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,493.25 / $2,800.98 / $4,559.06	Professional		$1,493.25	$2,800.98	$4,559.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,699.31 / $2,939.47 / $5,244.92	Professional		$1,699.31	$2,939.47	$5,244.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $4,660.00 / $12,399.00	Facility		$1,111.00	$4,660.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,683.19 / $2,653.93 / $5,451.28	Professional		$1,683.19	$2,653.93	$5,451.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,196.30 / $1,315.93 / $1,674.82	Professional		$1,196.30	$1,315.93	$1,674.82