Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,819.70 / $9,772.37	Facility		$389.05	$1,819.70	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $199.53 / $398.11	Professional		$85.11	$199.53	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $263.03 / $616.60	Professional		$79.43	$263.03	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $257.04 / $630.96	Professional		$120.23	$257.04	$630.96
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,890.45 / $8,709.64	Facility		$933.25	$3,890.45	$8,709.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $288.40 / $676.08	Professional		$97.72	$288.40	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,890.45 / $8,709.64	Facility		$933.25	$3,890.45	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $251.19 / $602.56	Professional		$100.00	$251.19	$602.56
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $281.84 / $346.74	Facility		$208.93	$281.84	$346.74