Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $937.01 / $2,678.80	Facility		$100.00	$937.01	$2,678.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.45 / $349.79 / $506.12	Professional		$233.45	$349.79	$506.12
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 $249.49 / $411.18 / $583.11	Professional		$249.49	$411.18	$583.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.74 / $2,000.36 / $2,070.38	Facility		$425.74	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.73 / $570.28 / $1,090.42	Professional		$347.73	$570.28	$1,090.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $308.42 / $564.20 / $1,069.36	Professional		$308.42	$564.20	$1,069.36
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 $428.96 / $621.83 / $1,074.51	Professional		$428.96	$621.83	$1,074.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $215.16 / $329.84 / $533.76	Professional		$215.16	$329.84	$533.76