Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.11 / $2,331.21 / $4,955.34	Facility		$988.11	$2,331.21	$4,955.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $993.69 / $1,681.18	Professional		$166.64	$993.69	$1,681.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.88 / $607.07 / $2,320.87	Professional		$284.88	$607.07	$2,320.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.45 / $850.48 / $3,374.53	Professional		$323.45	$850.48	$3,374.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $274.07 / $913.03 / $3,710.00	Professional		$274.07	$913.03	$3,710.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $7,448.00	Facility		$3,360.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,378.26 / $2,205.44 / $4,580.04	Professional		$1,378.26	$2,205.44	$4,580.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $203.24 / $1,091.95 / $1,528.73	Professional		$203.24	$1,091.95	$1,528.73