Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,758.01 / $6,758.01	Facility		$100.00	$6,758.01	$6,758.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,839.79 / $1,970.31 / $2,394.44	Professional		$1,839.79	$1,970.31	$2,394.44
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 $1,807.52 / $3,242.35 / $5,187.18	Professional		$1,807.52	$3,242.35	$5,187.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.88 / $3,434.61 / $5,611.77	Professional		$1,808.88	$3,434.61	$5,611.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,069.23 / $3,579.37 / $6,386.71	Professional		$2,069.23	$3,579.37	$6,386.71
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 $2,034.51 / $2,931.67 / $5,580.15	Professional		$2,034.51	$2,931.67	$5,580.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,509.42 / $1,660.36 / $2,113.19	Professional		$1,509.42	$1,660.36	$2,113.19