Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,671.62 / $4,671.62	Facility		$100.00	$4,671.62	$4,671.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.10 / $1,368.10 / $2,400.06	Professional		$1,318.10	$1,368.10	$2,400.06
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 $1,345.61 / $2,413.78 / $3,861.61	Professional		$1,345.61	$2,413.78	$3,861.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,327.07 / $2,542.23 / $4,142.47	Professional		$1,327.07	$2,542.23	$4,142.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,540.45 / $2,664.67 / $4,754.60	Professional		$1,540.45	$2,664.67	$4,754.60
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 $1,435.64 / $2,103.67 / $3,979.21	Professional		$1,435.64	$2,103.67	$3,979.21
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,073.92 / $1,181.31 / $1,503.49	Professional		$1,073.92	$1,181.31	$1,503.49