Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,397.83 / $4,397.83	Facility		$100.00	$4,397.83	$4,397.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.47 / $1,284.30 / $1,641.32	Professional		$1,217.47	$1,284.30	$1,641.32
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 $1,238.55 / $2,211.67 / $3,554.35	Professional		$1,238.55	$2,211.67	$3,554.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.74 / $2,340.61 / $3,812.95	Professional		$1,221.74	$2,340.61	$3,812.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,417.88 / $2,452.65 / $4,376.29	Professional		$1,417.88	$2,452.65	$4,376.29
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 $1,337.84 / $1,935.78 / $3,709.46	Professional		$1,337.84	$1,935.78	$3,709.46
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,001.49 / $1,101.64 / $1,402.09	Professional		$1,001.49	$1,101.64	$1,402.09