Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,678.80 / $4,352.43	Facility		$100.00	$2,678.80	$4,352.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.32 / $1,278.04 / $1,654.53	Professional		$1,219.32	$1,278.04	$1,654.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,943.88 / $27,720.89 / $40,613.94	Facility		$10,943.88	$27,720.89	$40,613.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,249.55 / $2,241.44 / $3,585.91	Professional		$1,249.55	$2,241.44	$3,585.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.40 / $2,361.01 / $3,841.28	Professional		$1,305.40	$2,361.01	$3,841.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,430.47 / $2,474.42 / $4,415.14	Professional		$1,430.47	$2,474.42	$4,415.14
United Facility/Professional Facility Modifier Low / Median / High Price $854.00 / $4,487.00 / $9,949.00	Facility		$854.00	$4,487.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,345.42 / $2,006.74 / $4,384.82	Professional		$1,345.42	$2,006.74	$4,384.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,006.73 / $1,107.40 / $1,409.42	Professional		$1,006.73	$1,107.40	$1,409.42