Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,299.84 / $4,299.84	Facility		$100.00	$4,299.84	$4,299.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.09 / $1,209.31 / $1,646.46	Professional		$1,101.09	$1,209.31	$1,646.46
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 $1,245.66 / $2,224.37 / $3,574.77	Professional		$1,245.66	$2,224.37	$3,574.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,205.86 / $2,355.28 / $3,829.64	Professional		$1,205.86	$2,355.28	$3,829.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,426.03 / $2,466.75 / $4,401.43	Professional		$1,426.03	$2,466.75	$4,401.43
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 $1,322.78 / $1,967.61 / $4,325.60	Professional		$1,322.78	$1,967.61	$4,325.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,001.55 / $1,101.71 / $1,402.17	Professional		$1,001.55	$1,101.71	$1,402.17