Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.38 / $938.57 / $1,202.46	Professional		$839.38	$938.57	$1,202.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,050.00	Facility		$8,992.79	$9,992.00	$19,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $906.67 / $1,530.74 / $2,317.54	Professional		$906.67	$1,530.74	$2,317.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.67 / $2,000.36 / $2,070.38	Facility		$1,042.67	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.47 / $1,827.09 / $2,716.15	Professional		$1,221.47	$1,827.09	$2,716.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,037.95 / $1,702.86 / $3,203.63	Professional		$1,037.95	$1,702.86	$3,203.63
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 $1,058.91 / $1,551.57 / $2,630.22	Professional		$1,058.91	$1,551.57	$2,630.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $723.37 / $795.71 / $1,012.72	Professional		$723.37	$795.71	$1,012.72