Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,531.68 / $5,531.68	Facility		$100.00	$5,531.68	$5,531.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,510.69 / $1,593.85 / $1,969.35	Professional		$1,510.69	$1,593.85	$1,969.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $7,096.40 / $13,494.06	Facility		$3,302.10	$7,096.40	$13,494.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,491.17 / $2,674.88 / $4,279.33	Professional		$1,491.17	$2,674.88	$4,279.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,492.22 / $2,833.13 / $4,612.43	Professional		$1,492.22	$2,833.13	$4,612.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,707.08 / $2,952.91 / $5,268.90	Professional		$1,707.08	$2,952.91	$5,268.90
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 $1,740.73 / $2,691.58 / $9,487.69	Professional		$1,740.73	$2,691.58	$9,487.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,211.48 / $1,332.63 / $1,696.07	Professional		$1,211.48	$1,332.63	$1,696.07