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 $800.59 / $879.77 / $1,184.00	Professional		$800.59	$879.77	$1,184.00
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 $887.26 / $1,486.25 / $2,267.92	Professional		$887.26	$1,486.25	$2,267.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.26 / $2,000.36 / $2,070.38	Facility		$1,025.26	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.93 / $1,643.51 / $2,727.20	Professional		$1,120.93	$1,643.51	$2,727.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,015.73 / $1,666.41 / $3,135.05	Professional		$1,015.73	$1,666.41	$3,135.05
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 $1,019.64 / $1,377.56 / $2,652.22	Professional		$1,019.64	$1,377.56	$2,652.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $700.04 / $770.04 / $980.06	Professional		$700.04	$770.04	$980.06