Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,397.01 / $5,397.01	Facility		$100.00	$5,397.01	$5,397.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,522.75 / $1,590.82 / $2,069.16	Professional		$1,522.75	$1,590.82	$2,069.16
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 $1,561.37 / $2,788.12 / $4,480.77	Professional		$1,561.37	$2,788.12	$4,480.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,539.53 / $2,948.50 / $4,795.47	Professional		$1,539.53	$2,948.50	$4,795.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,787.44 / $3,091.91 / $5,516.93	Professional		$1,787.44	$3,091.91	$5,516.93
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 $1,477.69 / $2,226.44 / $4,654.72	Professional		$1,477.69	$2,226.44	$4,654.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,255.46 / $1,381.01 / $1,757.64	Professional		$1,255.46	$1,381.01	$1,757.64