Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,686.32 / $9,859.00	Facility		$100.00	$1,686.32	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.60 / $499.45 / $633.52	Professional		$449.60	$499.45	$633.52
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 $486.49 / $817.57 / $1,243.51	Professional		$486.49	$817.57	$1,243.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.46 / $2,000.36 / $2,070.38	Facility		$559.46	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.94 / $883.26 / $1,453.11	Professional		$637.94	$883.26	$1,453.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $556.92 / $913.70 / $1,718.96	Professional		$556.92	$913.70	$1,718.96
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 $563.37 / $743.54 / $1,464.57	Professional		$563.37	$743.54	$1,464.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $385.08 / $423.59 / $539.11	Professional		$385.08	$423.59	$539.11