Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,559.26 / $4,948.24	Facility		$100.00	$1,559.26	$4,948.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.16 / $555.29 / $762.45	Professional		$403.16	$555.29	$762.45
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 $435.35 / $713.94 / $987.02	Professional		$435.35	$713.94	$987.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.15 / $2,000.36 / $2,070.38	Facility		$739.15	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.14 / $922.92 / $1,686.08	Professional		$596.14	$922.92	$1,686.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $537.21 / $951.26 / $1,750.95	Professional		$537.21	$951.26	$1,750.95
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 $634.09 / $939.63 / $1,777.08	Professional		$634.09	$939.63	$1,777.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $377.09 / $503.23 / $737.37	Professional		$377.09	$503.23	$737.37