Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,057.53 / $4,057.53	Facility		$100.00	$4,057.53	$4,057.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.24 / $1,198.73 / $1,559.37	Professional		$1,151.24	$1,198.73	$1,559.37
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 $1,178.38 / $2,104.23 / $3,381.69	Professional		$1,178.38	$2,104.23	$3,381.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,157.08 / $2,225.69 / $3,615.78	Professional		$1,157.08	$2,225.69	$3,615.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,349.00 / $2,333.50 / $4,163.68	Professional		$1,349.00	$2,333.50	$4,163.68
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 $1,282.78 / $1,862.70 / $3,511.30	Professional		$1,282.78	$1,862.70	$3,511.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $947.24 / $1,041.96 / $1,326.14	Professional		$947.24	$1,041.96	$1,326.14