Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,338.18 / $4,338.18	Facility		$100.00	$4,338.18	$4,338.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,225.83 / $1,278.48 / $1,662.05	Professional		$1,225.83	$1,278.48	$1,662.05
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 $1,255.04 / $2,251.31 / $3,601.69	Professional		$1,255.04	$2,251.31	$3,601.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,256.17 / $2,370.08 / $3,852.13	Professional		$1,256.17	$2,370.08	$3,852.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,436.76 / $2,485.31 / $4,434.56	Professional		$1,436.76	$2,485.31	$4,434.56
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 $1,365.21 / $2,046.39 / $4,404.10	Professional		$1,365.21	$2,046.39	$4,404.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,009.26 / $1,110.19 / $1,412.96	Professional		$1,009.26	$1,110.19	$1,412.96