Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $808.02 / $3,631.70	Facility		$100.00	$808.02	$3,631.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.69 / $385.46 / $558.15	Professional		$274.69	$385.46	$558.15
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 $294.94 / $485.01 / $660.01	Professional		$294.94	$485.01	$660.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.27 / $2,000.36 / $2,070.38	Facility		$504.27	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.28 / $639.91 / $1,196.53	Professional		$414.28	$639.91	$1,196.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $363.80 / $661.14 / $1,185.74	Professional		$363.80	$661.14	$1,185.74
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 $475.46 / $761.85 / $1,491.34	Professional		$475.46	$761.85	$1,491.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $256.20 / $365.98 / $577.55	Professional		$256.20	$365.98	$577.55