Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $924.92 / $2,331.21	Facility		$100.00	$924.92	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.37 / $381.41 / $585.28	Professional		$270.37	$381.41	$585.28
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 $326.36 / $544.38 / $903.56	Professional		$326.36	$544.38	$903.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.65 / $662.14 / $1,287.32	Professional		$368.65	$662.14	$1,287.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $375.78 / $729.42 / $1,477.10	Professional		$375.78	$729.42	$1,477.10
United Facility/Professional Facility Modifier Low / Median / High Price $972.00 / $4,574.00 / $11,155.00	Facility		$972.00	$4,574.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.56 / $690.82 / $1,306.73	Professional		$408.56	$690.82	$1,306.73
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $237.74 / $332.84 / $434.15	Professional		$237.74	$332.84	$434.15