Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,786.46 / $3,786.46	Facility		$100.00	$3,786.46	$3,786.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.03 / $1,110.16 / $1,937.46	Professional		$1,060.03	$1,110.16	$1,937.46
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 $1,087.49 / $1,941.92 / $3,120.85	Professional		$1,087.49	$1,941.92	$3,120.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.45 / $2,053.59 / $3,344.28	Professional		$1,094.45	$2,053.59	$3,344.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,244.95 / $2,153.51 / $3,842.54	Professional		$1,244.95	$2,153.51	$3,842.54
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 $1,162.45 / $1,747.10 / $3,221.80	Professional		$1,162.45	$1,747.10	$3,221.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $869.60 / $956.56 / $1,217.44	Professional		$869.60	$956.56	$1,217.44