Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,593.70 / $5,593.70	Facility		$100.00	$5,593.70	$5,593.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,539.93 / $1,638.68 / $2,138.02	Professional		$1,539.93	$1,638.68	$2,138.02
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 $1,612.47 / $2,879.38 / $4,627.42	Professional		$1,612.47	$2,879.38	$4,627.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,589.70 / $3,044.38 / $4,951.99	Professional		$1,589.70	$3,044.38	$4,951.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,845.95 / $3,193.12 / $5,697.52	Professional		$1,845.95	$3,193.12	$5,697.52
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 $1,710.29 / $2,606.46 / $6,088.53	Professional		$1,710.29	$2,606.46	$6,088.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,277.14 / $1,404.85 / $1,788.00	Professional		$1,277.14	$1,404.85	$1,788.00