Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,449.64 / $4,449.64	Facility		$100.00	$4,449.64	$4,449.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,252.41 / $1,309.50 / $1,697.80	Professional		$1,252.41	$1,309.50	$1,697.80
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 $1,281.57 / $2,288.48 / $3,677.81	Professional		$1,281.57	$2,288.48	$3,677.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,263.35 / $2,419.57 / $3,932.57	Professional		$1,263.35	$2,419.57	$3,932.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,467.13 / $2,537.84 / $4,528.30	Professional		$1,467.13	$2,537.84	$4,528.30
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 $1,393.60 / $2,054.42 / $3,822.30	Professional		$1,393.60	$2,054.42	$3,822.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,030.76 / $1,133.83 / $1,443.06	Professional		$1,030.76	$1,133.83	$1,443.06