Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,588.47 / $4,588.47	Facility		$100.00	$4,588.47	$4,588.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,266.86 / $1,368.43 / $1,651.88	Professional		$1,266.86	$1,368.43	$1,651.88
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 $1,255.69 / $2,252.46 / $3,603.55	Professional		$1,255.69	$2,252.46	$3,603.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.06 / $2,388.96 / $3,884.70	Professional		$1,257.06	$2,388.96	$3,884.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,437.50 / $2,486.59 / $4,436.84	Professional		$1,437.50	$2,486.59	$4,436.84
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 $1,437.50 / $1,812.32 / $3,747.23	Professional		$1,437.50	$1,812.32	$3,747.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,015.99 / $1,117.58 / $1,422.39	Professional		$1,015.99	$1,117.58	$1,422.39