Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,511.27 / $8,965.00	Facility		$100.00	$1,511.27	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.90 / $441.12 / $521.83	Professional		$397.90	$441.12	$521.83
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 $399.16 / $684.48 / $1,020.28	Professional		$399.16	$684.48	$1,020.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.80 / $1,306.21 / $1,351.93	Facility		$460.80	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.76 / $779.67 / $1,218.07	Professional		$516.76	$779.67	$1,218.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $456.95 / $749.67 / $1,410.38	Professional		$456.95	$749.67	$1,410.38
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 $464.76 / $620.61 / $1,106.08	Professional		$464.76	$620.61	$1,106.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $321.88 / $354.07 / $450.63	Professional		$321.88	$354.07	$450.63