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 / $4,356.02	Facility		$100.00	$2,678.80	$4,356.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.72 / $1,278.04 / $1,654.53	Professional		$1,227.72	$1,278.04	$1,654.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33,725.69 / $37,473.00 / $53,343.00	Facility		$33,725.69	$37,473.00	$53,343.00
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 $972.00 / $4,574.00 / $11,155.00	Facility		$972.00	$4,574.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.81 / $1,971.81 / $3,729.78	Professional		$1,230.81	$1,971.81	$3,729.78
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