Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,120.94 / $6,067.00	Facility		$100.00	$2,120.94	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.26 / $630.44 / $803.42	Professional		$567.26	$630.44	$803.42
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 $615.54 / $1,055.56 / $1,573.41	Professional		$615.54	$1,055.56	$1,573.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $2,000.36 / $2,070.38	Facility		$707.88	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.89 / $1,176.64 / $1,838.27	Professional		$765.89	$1,176.64	$1,838.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $704.68 / $1,156.09 / $2,174.98	Professional		$704.68	$1,156.09	$2,174.98
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $757.96 / $987.97 / $2,097.04	Professional		$757.96	$987.97	$2,097.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $486.22 / $534.84 / $680.71	Professional		$486.22	$534.84	$680.71