Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,904.79 / $2,331.21	Facility		$100.00	$1,904.79	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.91 / $564.78 / $1,119.00	Professional		$551.91	$564.78	$1,119.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $2,875.00	Facility		$1,449.90	$1,611.00	$2,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.65 / $1,000.32 / $1,600.33	Professional		$557.65	$1,000.32	$1,600.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.29 / $1,058.00 / $1,711.01	Professional		$597.29	$1,058.00	$1,711.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $638.40 / $1,104.30 / $1,970.42	Professional		$638.40	$1,104.30	$1,970.42
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,884.00 / $8,611.00	Facility		$930.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $624.41 / $863.07 / $1,632.54	Professional		$624.41	$863.07	$1,632.54
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $442.43 / $486.67 / $619.40	Professional		$442.43	$486.67	$619.40