Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $989.02 / $2,331.21	Facility		$100.00	$989.02	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.98 / $397.43 / $586.86	Professional		$293.98	$397.43	$586.86
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 $342.49 / $553.72 / $897.20	Professional		$342.49	$553.72	$897.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.59 / $663.51 / $1,283.05	Professional		$397.59	$663.51	$1,283.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $382.22 / $737.14 / $1,462.53	Professional		$382.22	$737.14	$1,462.53
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 $474.97 / $679.03 / $1,472.10	Professional		$474.97	$679.03	$1,472.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $245.29 / $354.83 / $514.70	Professional		$245.29	$354.83	$514.70