Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,643.68 / $4,643.68	Facility		$100.00	$4,643.68	$4,643.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,310.56 / $1,366.64 / $1,768.40	Professional		$1,310.56	$1,366.64	$1,768.40
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 $1,332.03 / $2,378.59 / $3,822.62	Professional		$1,332.03	$2,378.59	$3,822.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.75 / $2,516.39 / $4,103.75	Professional		$1,313.75	$2,516.39	$4,103.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,524.90 / $2,637.77 / $4,706.60	Professional		$1,524.90	$2,637.77	$4,706.60
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 $1,301.31 / $2,055.89 / $4,495.16	Professional		$1,301.31	$2,055.89	$4,495.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,077.56 / $1,185.32 / $1,508.58	Professional		$1,077.56	$1,185.32	$1,508.58