Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,888.19 / $3,888.19	Facility		$100.00	$3,888.19	$3,888.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.65 / $1,147.26 / $1,493.93	Professional		$1,110.65	$1,147.26	$1,493.93
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 $1,128.89 / $2,015.86 / $3,239.67	Professional		$1,128.89	$2,015.86	$3,239.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.98 / $2,135.03 / $3,477.99	Professional		$1,096.98	$2,135.03	$3,477.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,292.34 / $2,235.51 / $3,988.84	Professional		$1,292.34	$2,235.51	$3,988.84
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 $1,216.58 / $1,722.76 / $3,796.82	Professional		$1,216.58	$1,722.76	$3,796.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $911.89 / $1,003.08 / $1,276.65	Professional		$911.89	$1,003.08	$1,276.65