Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,819.70 / $9,772.37	Facility		$302.00	$1,819.70	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $331.13	Professional		$72.44	$134.90	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $190.55	Professional		$74.13	$128.82	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $338.84	Professional		$93.33	$162.18	$338.84
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $338.84	Professional		$89.13	$173.78	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $338.84	Professional		$95.50	$177.83	$338.84
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $173.78	Facility		$141.25	$141.25	$173.78