Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,209.58 / $2,359.42	Facility		$100.00	$1,209.58	$2,359.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.84 / $653.22 / $932.95	Professional		$623.84	$653.22	$932.95
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 $705.15 / $1,174.81 / $1,802.44	Professional		$705.15	$1,174.81	$1,802.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $810.92 / $810.92 / $810.92	Facility		$810.92	$810.92	$810.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.77 / $1,284.68 / $2,131.77	Professional		$881.77	$1,284.68	$2,131.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $807.25 / $1,269.97 / $2,491.58	Professional		$807.25	$1,269.97	$2,491.58
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 $807.25 / $1,032.08 / $1,935.56	Professional		$807.25	$1,032.08	$1,935.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $552.79 / $608.08 / $773.92	Professional		$552.79	$608.08	$773.92