Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,159.74 / $3,313.74	Facility		$100.00	$1,159.74	$3,313.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.95 / $377.19 / $537.16	Professional		$316.95	$377.19	$537.16
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 $278.77 / $459.68 / $713.59	Professional		$278.77	$459.68	$713.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $2,472.40 / $2,558.92	Facility		$478.20	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.20 / $620.45 / $1,195.83	Professional		$397.20	$620.45	$1,195.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $344.80 / $629.23 / $1,151.21	Professional		$344.80	$629.23	$1,151.21
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 $492.17 / $665.69 / $1,291.23	Professional		$492.17	$665.69	$1,291.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $220.69 / $308.97 / $411.60	Professional		$220.69	$308.97	$411.60