Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,612.50 / $2,612.50	Facility		$100.00	$2,612.50	$2,612.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.05 / $774.98 / $1,015.84	Professional		$690.05	$774.98	$1,015.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,497.60 / $4,192.63 / $7,972.44	Facility		$1,497.60	$4,192.63	$7,972.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.91 / $1,371.24 / $2,203.71	Professional		$767.91	$1,371.24	$2,203.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.72 / $1,451.86 / $2,362.26	Professional		$757.72	$1,451.86	$2,362.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $879.09 / $1,520.65 / $2,713.31	Professional		$879.09	$1,520.65	$2,713.31
United Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $3,360.00 / $7,448.00	Facility		$451.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $752.20 / $1,234.08 / $2,284.85	Professional		$752.20	$1,234.08	$2,284.85
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $616.99 / $678.69 / $863.79	Professional		$616.99	$678.69	$863.79