Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,590.01 / $3,590.01	Facility		$100.00	$3,590.01	$3,590.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,014.15 / $1,055.63 / $1,368.12	Professional		$1,014.15	$1,055.63	$1,368.12
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 $1,035.41 / $1,848.93 / $2,971.40	Professional		$1,035.41	$1,848.93	$2,971.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.27 / $1,959.52 / $3,191.80	Professional		$1,022.27	$1,959.52	$3,191.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,185.33 / $2,050.38 / $3,658.52	Professional		$1,185.33	$2,050.38	$3,658.52
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 $1,111.92 / $1,687.86 / $3,966.86	Professional		$1,111.92	$1,687.86	$3,966.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $834.43 / $917.87 / $1,168.20	Professional		$834.43	$917.87	$1,168.20