Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,768.82 / $9,859.00	Facility		$100.00	$1,768.82	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.41 / $557.58 / $714.04	Professional		$505.41	$557.58	$714.04
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 $549.57 / $942.40 / $1,404.73	Professional		$549.57	$942.40	$1,404.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.01 / $2,862.32 / $2,962.50	Facility		$632.01	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.55 / $1,046.94 / $1,639.99	Professional		$683.55	$1,046.94	$1,639.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $629.14 / $1,032.17 / $1,941.84	Professional		$629.14	$1,032.17	$1,941.84
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 $623.80 / $885.08 / $1,863.96	Professional		$623.80	$885.08	$1,863.96
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $432.69 / $475.96 / $605.77	Professional		$432.69	$475.96	$605.77