Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $968.61 / $2,341.64	Facility		$100.00	$968.61	$2,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.68 / $385.59 / $482.62	Professional		$239.68	$385.59	$482.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.50 / $412.79 / $576.75	Professional		$250.50	$412.79	$576.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.16 / $429.16 / $429.16	Facility		$429.16	$429.16	$429.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.00 / $564.71 / $1,066.47	Professional		$353.00	$564.71	$1,066.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $309.63 / $566.41 / $1,047.30	Professional		$309.63	$566.41	$1,047.30
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 $421.85 / $663.75 / $1,343.70	Professional		$421.85	$663.75	$1,343.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $199.11 / $278.75 / $378.05	Professional		$199.11	$278.75	$378.05