Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,959.13 / $3,764.10	Facility		$100.00	$1,959.13	$3,764.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.35 / $563.09 / $734.55	Professional		$502.35	$563.09	$734.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.67 / $1,018.31 / $1,629.11	Professional		$567.67	$1,018.31	$1,629.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,862.32 / $2,862.32 / $2,962.50	Facility		$2,862.32	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.80 / $973.40 / $1,612.03	Professional		$605.80	$973.40	$1,612.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $649.88 / $1,124.16 / $2,005.85	Professional		$649.88	$1,124.16	$2,005.85
United Facility/Professional Facility Modifier Low / Median / High Price $972.00 / $4,574.00 / $11,155.00	Facility		$972.00	$4,574.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $625.45 / $906.90 / $1,715.45	Professional		$625.45	$906.90	$1,715.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $469.21 / $516.13 / $656.89	Professional		$469.21	$516.13	$656.89