Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,999.02 / $3,999.02	Facility		$100.00	$3,999.02	$3,999.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.21 / $1,179.46 / $1,526.35	Professional		$1,130.21	$1,179.46	$1,526.35
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 $1,153.48 / $2,059.76 / $3,310.22	Professional		$1,153.48	$2,059.76	$3,310.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,080.85 / $2,179.89 / $3,545.73	Professional		$1,080.85	$2,179.89	$3,545.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,320.49 / $2,284.17 / $4,075.69	Professional		$1,320.49	$2,284.17	$4,075.69
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 $1,145.14 / $1,818.65 / $3,440.07	Professional		$1,145.14	$1,818.65	$3,440.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $928.70 / $1,021.57 / $1,300.18	Professional		$928.70	$1,021.57	$1,300.18