Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,610.46 / $3,610.46	Facility		$100.00	$3,610.46	$3,610.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,009.99 / $1,071.50 / $1,324.26	Professional		$1,009.99	$1,071.50	$1,324.26
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 $1,012.45 / $1,816.13 / $2,905.48	Professional		$1,012.45	$1,816.13	$2,905.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.57 / $1,929.96 / $3,136.18	Professional		$983.57	$1,929.96	$3,136.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,159.04 / $2,004.91 / $3,577.38	Professional		$1,159.04	$2,004.91	$3,577.38
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 $1,069.69 / $1,612.40 / $2,948.26	Professional		$1,069.69	$1,612.40	$2,948.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $800.90 / $880.99 / $1,121.26	Professional		$800.90	$880.99	$1,121.26