Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $6,067.00	Facility		$100.00	$2,331.21	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $107.94 / $151.28	Professional		$74.45	$107.94	$151.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $148.47 / $282.42	Professional		$81.51	$148.47	$282.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.07 / $183.88 / $383.58	Professional		$91.07	$183.88	$383.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $231.72 / $477.12	Professional		$106.33	$231.72	$477.12
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.43 / $256.88 / $531.61	Professional		$200.43	$256.88	$531.61
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $119.62 / $179.43	Professional		$72.92	$119.62	$179.43