Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,398.83 / $9,772.37	Facility		$100.00	$2,398.83	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $269.15	Professional		$173.78	$190.55	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,623.41 / $8,912.51	Facility		$5,011.87	$5,623.41	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $812.83	Professional		$380.19	$537.03	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $794.33	Professional		$338.84	$446.68	$794.33
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,981.07	Facility		$2,511.89	$2,511.89	$3,981.07