Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,549.77 / $5,549.77	Facility		$100.00	$5,549.77	$5,549.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,586.15 / $1,641.97 / $2,139.71	Professional		$1,586.15	$1,641.97	$2,139.71
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 $1,616.03 / $2,898.85 / $4,637.64	Professional		$1,616.03	$2,898.85	$4,637.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,594.65 / $3,055.66 / $4,978.88	Professional		$1,594.65	$3,055.66	$4,978.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,850.02 / $3,200.16 / $5,710.09	Professional		$1,850.02	$3,200.16	$5,710.09
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 $1,448.61 / $2,468.12 / $4,835.30	Professional		$1,448.61	$2,468.12	$4,835.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,306.23 / $1,436.85 / $1,828.72	Professional		$1,306.23	$1,436.85	$1,828.72