Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $642.80 / $2,331.21	Facility		$100.00	$642.80	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.76 / $351.44 / $613.78	Professional		$172.76	$351.44	$613.78
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 $185.85 / $313.01 / $487.48	Professional		$185.85	$313.01	$487.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.77 / $1,306.21 / $1,351.93	Facility		$313.77	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.45 / $562.16 / $1,263.94	Professional		$261.45	$562.16	$1,263.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $229.60 / $545.90 / $1,290.96	Professional		$229.60	$545.90	$1,290.96
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 $529.95 / $673.80 / $1,499.28	Professional		$529.95	$673.80	$1,499.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $156.86 / $334.72 / $495.71	Professional		$156.86	$334.72	$495.71