Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,188.15 / $2,678.80	Facility		$100.00	$1,188.15	$2,678.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.33 / $504.46 / $675.90	Professional		$303.33	$504.46	$675.90
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 $351.93 / $581.04 / $838.03	Professional		$351.93	$581.04	$838.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $603.66 / $2,000.36 / $2,070.38	Facility		$603.66	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.37 / $794.12 / $1,481.27	Professional		$480.37	$794.12	$1,481.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $439.79 / $804.53 / $1,544.74	Professional		$439.79	$804.53	$1,544.74
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 $536.77 / $751.48 / $1,527.78	Professional		$536.77	$751.48	$1,527.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $250.61 / $350.85 / $487.50	Professional		$250.61	$350.85	$487.50