Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,819.70 / $9,772.37	Facility		$512.86	$1,819.70	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $257.04	Professional		$120.23	$169.82	$257.04
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 $114.82 / $218.78 / $380.19	Professional		$114.82	$218.78	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $512.86	Professional		$151.36	$245.47	$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 $138.04 / $269.15 / $524.81	Professional		$138.04	$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 $154.88 / $281.84 / $512.86	Professional		$154.88	$281.84	$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