Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,819.70 / $9,772.37	Facility		$489.78	$1,819.70	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $346.74	Professional		$114.82	$173.78	$346.74
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 $109.65 / $229.09 / $389.05	Professional		$109.65	$229.09	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $512.86	Professional		$144.54	$251.19	$512.86
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 $131.83 / $269.15 / $524.81	Professional		$131.83	$269.15	$524.81
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 $147.91 / $275.42 / $512.86	Professional		$147.91	$275.42	$512.86
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $269.15	Facility		$218.78	$218.78	$269.15