Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,075.61 / $2,678.80	Facility		$100.00	$1,075.61	$2,678.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.73 / $417.05 / $596.91	Professional		$271.73	$417.05	$596.91
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 $295.95 / $487.16 / $693.61	Professional		$295.95	$487.16	$693.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.76 / $2,000.36 / $2,070.38	Facility		$503.76	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.36 / $674.47 / $1,284.34	Professional		$415.36	$674.47	$1,284.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $365.41 / $668.46 / $1,275.33	Professional		$365.41	$668.46	$1,275.33
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 $496.22 / $693.15 / $1,367.91	Professional		$496.22	$693.15	$1,367.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $252.68 / $385.02 / $616.49	Professional		$252.68	$385.02	$616.49