Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,629.58 / $6,067.00	Facility		$100.00	$1,629.58	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.28 / $533.25 / $669.85	Professional		$480.28	$533.25	$669.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.94 / $774.82 / $1,194.14	Professional		$449.94	$774.82	$1,194.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $1,751.69 / $1,812.99	Facility		$517.42	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.58 / $806.31 / $1,292.33	Professional		$566.58	$806.31	$1,292.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $515.09 / $845.06 / $1,589.83	Professional		$515.09	$845.06	$1,589.83
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 $528.50 / $679.78 / $1,363.28	Professional		$528.50	$679.78	$1,363.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $373.44 / $410.78 / $522.82	Professional		$373.44	$410.78	$522.82