Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,844.57 / $3,844.57	Facility		$100.00	$3,844.57	$3,844.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.09 / $1,126.41 / $1,454.82	Professional		$1,103.09	$1,126.41	$1,454.82
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 $1,144.42 / $2,052.86 / $3,284.21	Professional		$1,144.42	$2,052.86	$3,284.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.83 / $2,166.87 / $3,495.62	Professional		$1,044.83	$2,166.87	$3,495.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,310.11 / $2,266.25 / $4,043.69	Professional		$1,310.11	$2,266.25	$4,043.69
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 $1,113.59 / $1,733.46 / $4,015.91	Professional		$1,113.59	$1,733.46	$4,015.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $887.60 / $976.36 / $1,242.64	Professional		$887.60	$976.36	$1,242.64