Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,764.10 / $5,117.27	Facility		$100.00	$3,764.10	$5,117.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,325.62 / $1,442.50 / $1,917.50	Professional		$1,325.62	$1,442.50	$1,917.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,476.90 / $9,132.04 / $17,364.89	Facility		$3,476.90	$9,132.04	$17,364.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.89 / $2,593.65 / $4,149.38	Professional		$1,445.89	$2,593.65	$4,149.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,424.88 / $2,728.39 / $4,435.22	Professional		$1,424.88	$2,728.39	$4,435.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,655.24 / $2,863.23 / $5,108.89	Professional		$1,655.24	$2,863.23	$5,108.89
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 $1,559.43 / $2,283.13 / $4,318.64	Professional		$1,559.43	$2,283.13	$4,318.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,164.05 / $1,280.46 / $1,629.67	Professional		$1,164.05	$1,280.46	$1,629.67