Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,105.15 / $9,859.00	Facility		$100.00	$3,105.15	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.26 / $828.22 / $1,004.43	Professional		$703.26	$828.22	$1,004.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.08 / $1,394.84 / $2,300.83	Professional		$915.08	$1,394.84	$2,300.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.36 / $2,000.36 / $2,070.38	Facility		$2,000.36	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $965.48 / $1,369.30 / $2,384.86	Professional		$965.48	$1,369.30	$2,384.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,047.58 / $2,064.56 / $3,727.18	Professional		$1,047.58	$2,064.56	$3,727.18
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 $903.77 / $1,529.72 / $3,262.45	Professional		$903.77	$1,529.72	$3,262.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $739.76 / $813.74 / $1,035.66	Professional		$739.76	$813.74	$1,035.66