Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,784.81 / $4,784.81	Facility		$100.00	$4,784.81	$4,784.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,352.40 / $1,414.03 / $1,831.12	Professional		$1,352.40	$1,414.03	$1,831.12
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 $1,380.55 / $2,465.23 / $3,961.86	Professional		$1,380.55	$2,465.23	$3,961.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,360.94 / $2,606.04 / $4,238.71	Professional		$1,360.94	$2,606.04	$4,238.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,580.44 / $2,733.85 / $4,878.03	Professional		$1,580.44	$2,733.85	$4,878.03
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 $1,489.06 / $2,180.61 / $4,124.74	Professional		$1,489.06	$2,180.61	$4,124.74
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,112.14 / $1,223.34 / $1,557.00	Professional		$1,112.14	$1,223.34	$1,557.00