Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,498.26 / $2,331.21	Facility		$100.00	$1,498.26	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.24 / $482.90 / $692.62	Professional		$415.24	$482.90	$692.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.60 / $708.59 / $990.49	Professional		$460.60	$708.59	$990.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $773.83 / $1,306.21 / $1,351.93	Facility		$773.83	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.51 / $915.96 / $1,404.16	Professional		$610.51	$915.96	$1,404.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $547.05 / $858.88 / $1,608.10	Professional		$547.05	$858.88	$1,608.10
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 $569.07 / $759.30 / $1,440.77	Professional		$569.07	$759.30	$1,440.77
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $353.83 / $413.27 / $495.36	Professional		$353.83	$413.27	$495.36