Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,252.69 / $9,859.00	Facility		$100.00	$2,252.69	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.44 / $655.16 / $839.88	Professional		$589.44	$655.16	$839.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,613.70 / $31,793.00 / $50,515.00	Facility		$28,613.70	$31,793.00	$50,515.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.52 / $1,070.91 / $1,632.11	Professional		$638.52	$1,070.91	$1,632.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.30 / $2,862.32 / $2,962.50	Facility		$734.30	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.85 / $1,156.11 / $1,909.05	Professional		$835.85	$1,156.11	$1,909.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $730.97 / $1,199.23 / $2,256.14	Professional		$730.97	$1,199.23	$2,256.14
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.54 / $961.06 / $1,857.89	Professional		$745.54	$961.06	$1,857.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $506.25 / $607.50 / $958.84	Professional		$506.25	$607.50	$958.84