Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,361.98 / $6,067.00	Facility		$100.00	$1,361.98	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.04 / $479.87 / $758.02	Professional		$335.04	$479.87	$758.02
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 $364.64 / $600.87 / $821.08	Professional		$364.64	$600.87	$821.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.17 / $1,751.69 / $1,812.99	Facility		$621.17	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.18 / $790.57 / $1,478.92	Professional		$497.18	$790.57	$1,478.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $450.70 / $819.07 / $1,468.99	Professional		$450.70	$819.07	$1,468.99
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 $559.87 / $839.81 / $1,806.37	Professional		$559.87	$839.81	$1,806.37
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $281.06 / $393.48 / $507.70	Professional		$281.06	$393.48	$507.70