Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,708.62 / $6,067.00	Facility		$100.00	$1,708.62	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.48 / $535.97 / $681.26	Professional		$476.48	$535.97	$681.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.72 / $896.37 / $1,336.12	Professional		$522.72	$896.37	$1,336.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $601.13 / $1,751.69 / $1,812.99	Facility		$601.13	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.05 / $1,001.49 / $1,564.63	Professional		$659.05	$1,001.49	$1,564.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $598.40 / $981.74 / $1,846.96	Professional		$598.40	$981.74	$1,846.96
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.07 / $840.91 / $1,562.53	Professional		$581.07	$840.91	$1,562.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $411.11 / $452.22 / $575.54	Professional		$411.11	$452.22	$575.54