Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,178.69 / $9,859.00	Facility		$100.00	$1,178.69	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $363.82 / $1,178.69	Professional		$161.82	$363.82	$1,178.69
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 $241.79 / $384.06 / $580.45	Professional		$241.79	$384.06	$580.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.20 / $467.81 / $740.62	Professional		$264.20	$467.81	$740.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $224.40 / $445.16 / $739.20	Professional		$224.40	$445.16	$739.20
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.70 / $461.03 / $1,272.22	Professional		$280.70	$461.03	$1,272.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $175.97 / $223.96	Professional		$159.97	$175.97	$223.96