Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $9,859.00 / $10,011.79	Facility		$100.00	$9,859.00	$10,011.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,651.41 / $2,925.11 / $3,488.39	Professional		$2,651.41	$2,925.11	$3,488.39
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 $2,633.33 / $4,723.68 / $7,557.06	Professional		$2,633.33	$4,723.68	$7,557.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,626.89 / $4,993.64 / $8,134.99	Professional		$2,626.89	$4,993.64	$8,134.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,014.61 / $5,214.67 / $9,304.59	Professional		$3,014.61	$5,214.67	$9,304.59
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 $2,803.64 / $4,009.43 / $8,018.40	Professional		$2,803.64	$4,009.43	$8,018.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,167.14 / $2,600.57 / $3,822.83	Professional		$2,167.14	$2,600.57	$3,822.83