Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,141.30 / $6,067.00	Facility		$100.00	$1,141.30	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.48 / $402.72 / $1,141.30	Professional		$285.48	$402.72	$1,141.30
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 $334.30 / $520.75 / $786.70	Professional		$334.30	$520.75	$786.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.75 / $570.48 / $904.87	Professional		$348.75	$570.48	$904.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $305.13 / $605.32 / $1,005.13	Professional		$305.13	$605.32	$1,005.13
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.29 / $480.55 / $909.83	Professional		$380.29	$480.55	$909.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $217.81 / $261.37 / $411.41	Professional		$217.81	$261.37	$411.41