Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,221.47 / $4,221.47	Facility		$100.00	$4,221.47	$4,221.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,197.21 / $1,246.49 / $1,618.52	Professional		$1,197.21	$1,246.49	$1,618.52
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 $1,221.40 / $2,181.05 / $3,505.15	Professional		$1,221.40	$2,181.05	$3,505.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.09 / $2,307.69 / $3,756.52	Professional		$1,171.09	$2,307.69	$3,756.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,398.25 / $2,418.69 / $4,315.70	Professional		$1,398.25	$2,418.69	$4,315.70
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 $1,315.83 / $1,994.76 / $3,647.42	Professional		$1,315.83	$1,994.76	$3,647.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $984.40 / $1,082.83 / $1,378.16	Professional		$984.40	$1,082.83	$1,378.16