Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,910.17 / $3,910.17	Facility		$100.00	$3,910.17	$3,910.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,081.65 / $1,137.33 / $1,471.60	Professional		$1,081.65	$1,137.33	$1,471.60
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 $1,110.13 / $1,991.36 / $3,185.82	Professional		$1,110.13	$1,991.36	$3,185.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.19 / $2,095.31 / $3,405.82	Professional		$1,094.19	$2,095.31	$3,405.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,270.86 / $2,198.35 / $3,922.54	Professional		$1,270.86	$2,198.35	$3,922.54
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 $1,248.20 / $1,793.90 / $4,252.52	Professional		$1,248.20	$1,793.90	$4,252.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $891.87 / $981.06 / $1,248.61	Professional		$891.87	$981.06	$1,248.61