Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,239.34 / $2,416.28	Facility		$100.00	$1,239.34	$2,416.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.74 / $714.78 / $954.38	Professional		$644.74	$714.78	$954.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $20,162.41 / $35,151.03	Facility		$3,669.00	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $722.62 / $1,203.91 / $1,847.08	Professional		$722.62	$1,203.91	$1,847.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.01 / $831.01 / $831.01	Facility		$831.01	$831.01	$831.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.49 / $1,314.95 / $2,182.00	Professional		$902.49	$1,314.95	$2,182.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $827.25 / $1,301.43 / $2,553.31	Professional		$827.25	$1,301.43	$2,553.31
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $814.63 / $1,042.56 / $1,983.63	Professional		$814.63	$1,042.56	$1,983.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $566.48 / $623.13 / $793.07	Professional		$566.48	$623.13	$793.07