Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,561.86 / $5,561.86	Facility		$100.00	$5,561.86	$5,561.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,560.92 / $1,633.07 / $2,851.90	Professional		$1,560.92	$1,633.07	$2,851.90
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 $1,591.12 / $2,841.26 / $4,566.17	Professional		$1,591.12	$2,841.26	$4,566.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,568.16 / $3,002.58 / $4,888.64	Professional		$1,568.16	$3,002.58	$4,888.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,821.51 / $3,150.85 / $5,622.09	Professional		$1,821.51	$3,150.85	$5,622.09
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 $1,737.96 / $2,520.04 / $4,766.79	Professional		$1,737.96	$2,520.04	$4,766.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,284.98 / $1,413.48 / $1,798.97	Professional		$1,284.98	$1,413.48	$1,798.97