Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,580.73 / $2,341.64	Facility		$100.00	$1,580.73	$2,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.93 / $452.50 / $540.16	Professional		$417.93	$452.50	$540.16
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 $403.04 / $722.96 / $1,156.60	Professional		$403.04	$722.96	$1,156.60
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 $501.63 / $775.17 / $1,257.21	Professional		$501.63	$775.17	$1,257.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $461.39 / $798.11 / $1,424.08	Professional		$461.39	$798.11	$1,424.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $4,660.00 / $12,399.00	Facility		$1,111.00	$4,660.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.47 / $656.78 / $1,410.15	Professional		$457.47	$656.78	$1,410.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $339.85 / $407.82 / $643.67	Professional		$339.85	$407.82	$643.67