Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,083.33 / $2,331.21	Facility		$100.00	$1,083.33	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.19 / $326.98 / $425.71	Professional		$312.19	$326.98	$425.71
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 $329.61 / $591.26 / $945.91	Professional		$329.61	$591.26	$945.91
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 $326.60 / $627.63 / $1,012.92	Professional		$326.60	$627.63	$1,012.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $377.34 / $652.72 / $1,164.66	Professional		$377.34	$652.72	$1,164.66
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,884.00 / $8,611.00	Facility		$930.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.49 / $488.99 / $957.99	Professional		$312.49	$488.99	$957.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $260.63 / $286.69 / $364.88	Professional		$260.63	$286.69	$364.88