Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,749.77 / $8,965.00	Facility		$100.00	$1,749.77	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.83 / $258.76 / $291.26	Professional		$241.83	$258.76	$291.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $2,875.00	Facility		$1,449.90	$1,611.00	$2,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.10 / $313.61 / $452.00	Professional		$285.10	$313.61	$452.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.58 / $448.86 / $696.20	Professional		$284.58	$448.86	$696.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $274.02 / $474.00 / $845.76	Professional		$274.02	$474.00	$845.76
United Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $4,314.00 / $9,565.00	Facility		$691.00	$4,314.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.19 / $366.08 / $705.11	Professional		$249.19	$366.08	$705.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00