Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,077.47 / $2,341.64	Facility		$100.00	$1,077.47	$2,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.37 / $376.81 / $546.32	Professional		$268.37	$376.81	$546.32
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 $289.89 / $476.93 / $661.83	Professional		$289.89	$476.93	$661.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.28 / $1,751.69 / $1,812.99	Facility		$494.28	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.69 / $644.94 / $1,212.16	Professional		$404.69	$644.94	$1,212.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $357.74 / $653.84 / $1,196.26	Professional		$357.74	$653.84	$1,196.26
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $468.73 / $656.22 / $1,228.51	Professional		$468.73	$656.22	$1,228.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $250.70 / $364.91 / $588.40	Professional		$250.70	$364.91	$588.40