Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,041.61 / $2,678.80	Facility		$100.00	$1,041.61	$2,678.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.48 / $451.60 / $643.78	Professional		$288.48	$451.60	$643.78
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 $332.32 / $546.45 / $806.38	Professional		$332.32	$546.45	$806.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.65 / $2,000.36 / $2,070.38	Facility		$557.65	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.40 / $747.13 / $1,445.63	Professional		$451.40	$747.13	$1,445.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $409.87 / $749.80 / $1,414.18	Professional		$409.87	$749.80	$1,414.18
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 $548.91 / $753.32 / $1,562.34	Professional		$548.91	$753.32	$1,562.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $257.67 / $360.74 / $499.80	Professional		$257.67	$360.74	$499.80