Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,256.35 / $5,256.35	Facility		$100.00	$5,256.35	$5,256.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,420.08 / $1,548.02 / $1,869.67	Professional		$1,420.08	$1,548.02	$1,869.67
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 $1,407.72 / $2,525.17 / $4,039.84	Professional		$1,407.72	$2,525.17	$4,039.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,388.65 / $2,656.67 / $4,321.43	Professional		$1,388.65	$2,656.67	$4,321.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,611.55 / $2,787.66 / $4,974.05	Professional		$1,611.55	$2,787.66	$4,974.05
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 $1,519.73 / $2,224.71 / $4,208.17	Professional		$1,519.73	$2,224.71	$4,208.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,134.39 / $1,247.83 / $1,588.15	Professional		$1,134.39	$1,247.83	$1,588.15