Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,828.83 / $9,859.00	Facility		$100.00	$1,828.83	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.07 / $435.56 / $1,828.83	Professional		$359.07	$435.56	$1,828.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.91 / $846.83 / $1,247.79	Professional		$579.91	$846.83	$1,247.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.17 / $1,024.09 / $1,394.92	Professional		$613.17	$1,024.09	$1,394.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $523.97 / $1,039.45 / $1,726.01	Professional		$523.97	$1,039.45	$1,726.01
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.23 / $806.64 / $1,626.59	Professional		$580.23	$806.64	$1,626.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $445.85 / $655.40	Professional		$371.54	$445.85	$655.40