Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,887.23 / $2,887.23	Facility		$100.00	$2,887.23	$2,887.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.90 / $845.45 / $1,101.42	Professional		$736.90	$845.45	$1,101.42
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 $834.22 / $1,454.24 / $2,326.53	Professional		$834.22	$1,454.24	$2,326.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.84 / $1,576.96 / $2,559.76	Professional		$832.84	$1,576.96	$2,559.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $955.00 / $1,651.96 / $2,947.61	Professional		$955.00	$1,651.96	$2,947.61
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 $897.52 / $1,290.86 / $2,681.04	Professional		$897.52	$1,290.86	$2,681.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $656.88 / $722.57 / $919.63	Professional		$656.88	$722.57	$919.63