Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,216.13 / $5,216.13	Facility		$100.00	$5,216.13	$5,216.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,456.52 / $1,527.03 / $1,976.05	Professional		$1,456.52	$1,527.03	$1,976.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,476.90 / $9,132.04 / $17,364.89	Facility		$3,476.90	$9,132.04	$17,364.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,487.94 / $2,669.08 / $4,270.05	Professional		$1,487.94	$2,669.08	$4,270.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,466.41 / $2,807.60 / $4,569.02	Professional		$1,466.41	$2,807.60	$4,569.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,703.38 / $2,946.51 / $5,257.48	Professional		$1,703.38	$2,946.51	$5,257.48
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 $1,621.83 / $2,367.89 / $4,448.27	Professional		$1,621.83	$2,367.89	$4,448.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,198.88 / $1,318.77 / $1,678.43	Professional		$1,198.88	$1,318.77	$1,678.43