Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,046.67 / $2,678.80	Facility		$100.00	$2,046.67	$2,678.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.31 / $633.59 / $789.66	Professional		$346.31	$633.59	$789.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.39 / $415.49 / $641.39	Professional		$249.39	$415.49	$641.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.24 / $2,000.36 / $2,070.38	Facility		$442.24	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.68 / $670.28 / $1,470.37	Professional		$364.68	$670.28	$1,470.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $311.64 / $566.37 / $1,030.76	Professional		$311.64	$566.37	$1,030.76
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.66 / $966.16 / $1,947.88	Professional		$622.66	$966.16	$1,947.88
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $478.32 / $614.29 / $837.68	Professional		$478.32	$614.29	$837.68