Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,232.47 / $2,341.64	Facility		$100.00	$1,232.47	$2,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.74 / $450.54 / $584.95	Professional		$351.74	$450.54	$584.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.78 / $581.16 / $882.80	Professional		$382.78	$581.16	$882.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,751.69 / $1,751.69 / $1,812.99	Facility		$1,751.69	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.18 / $684.98 / $1,231.85	Professional		$422.18	$684.98	$1,231.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $397.91 / $736.71 / $1,401.19	Professional		$397.91	$736.71	$1,401.19
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 $475.45 / $711.92 / $1,494.63	Professional		$475.45	$711.92	$1,494.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $268.38 / $370.98 / $445.18	Professional		$268.38	$370.98	$445.18