Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,175.38 / $5,412.60	Facility		$100.00	$1,175.38	$5,412.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $433.73 / $609.04	Professional		$293.74	$433.73	$609.04
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 $313.13 / $516.79 / $726.91	Professional		$313.13	$516.79	$726.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.53 / $2,000.36 / $2,070.38	Facility		$535.53	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.04 / $711.21 / $1,349.79	Professional		$446.04	$711.21	$1,349.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $387.65 / $709.14 / $1,325.90	Professional		$387.65	$709.14	$1,325.90
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 $539.91 / $755.48 / $1,482.95	Professional		$539.91	$755.48	$1,482.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $271.89 / $413.22 / $616.49	Professional		$271.89	$413.22	$616.49