Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,252.57 / $2,341.64	Facility		$100.00	$1,252.57	$2,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.52 / $423.60 / $548.22	Professional		$354.52	$423.60	$548.22
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 $403.36 / $636.74 / $869.92	Professional		$403.36	$636.74	$869.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.85 / $1,751.69 / $1,812.99	Facility		$684.85	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.00 / $815.51 / $1,258.32	Professional		$543.00	$815.51	$1,258.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $484.85 / $772.75 / $1,521.08	Professional		$484.85	$772.75	$1,521.08
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.53 / $625.41 / $1,271.51	Professional		$509.53	$625.41	$1,271.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $305.08 / $356.33 / $427.11	Professional		$305.08	$356.33	$427.11