Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $972.94 / $2,678.80	Facility		$100.00	$972.94	$2,678.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.85 / $361.79 / $511.50	Professional		$248.85	$361.79	$511.50
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 $263.63 / $433.82 / $607.63	Professional		$263.63	$433.82	$607.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.74 / $2,000.36 / $2,070.38	Facility		$448.74	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.06 / $596.35 / $1,133.07	Professional		$372.06	$596.35	$1,133.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $595.26 / $1,105.23	Professional		$325.39	$595.26	$1,105.23
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 $441.72 / $618.41 / $1,195.08	Professional		$441.72	$618.41	$1,195.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $210.44 / $294.62 / $401.39	Professional		$210.44	$294.62	$401.39