Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,532.50 / $4,532.50	Facility		$100.00	$4,532.50	$4,532.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.77 / $1,341.54 / $1,742.58	Professional		$1,287.77	$1,341.54	$1,742.58
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 $1,314.89 / $2,358.65 / $3,773.42	Professional		$1,314.89	$2,358.65	$3,773.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,228.20 / $2,483.04 / $4,038.81	Professional		$1,228.20	$2,483.04	$4,038.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,505.27 / $2,603.82 / $4,646.02	Professional		$1,505.27	$2,603.82	$4,646.02
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 $1,340.52 / $2,291.46 / $8,329.69	Professional		$1,340.52	$2,291.46	$8,329.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,059.58 / $1,165.54 / $1,483.41	Professional		$1,059.58	$1,165.54	$1,483.41