Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $7,057.64 / $7,057.64	Facility		$100.00	$7,057.64	$7,057.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,063.23 / $2,132.90 / $2,796.17	Professional		$2,063.23	$2,132.90	$2,796.17
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 $2,123.55 / $3,792.00 / $6,094.10	Professional		$2,123.55	$3,792.00	$6,094.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,988.46 / $4,018.48 / $6,518.76	Professional		$1,988.46	$4,018.48	$6,518.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,431.02 / $4,205.18 / $7,503.34	Professional		$2,431.02	$4,205.18	$7,503.34
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 $2,183.44 / $3,208.10 / $6,285.01	Professional		$2,183.44	$3,208.10	$6,285.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,698.66 / $1,868.53 / $2,378.12	Professional		$1,698.66	$1,868.53	$2,378.12