Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,833.20 / $3,313.74	Facility		$100.00	$1,833.20	$3,313.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.38 / $550.34 / $753.82	Professional		$494.38	$550.34	$753.82
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 $579.65 / $1,035.07 / $1,663.46	Professional		$579.65	$1,035.07	$1,663.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,472.40 / $2,472.40 / $2,558.92	Facility		$2,472.40	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.52 / $1,085.07 / $1,784.03	Professional		$571.52	$1,085.07	$1,784.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $663.58 / $1,147.85 / $2,048.14	Professional		$663.58	$1,147.85	$2,048.14
United Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $4,314.00 / $9,565.00	Facility		$691.00	$4,314.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.32 / $787.13 / $1,618.30	Professional		$580.32	$787.13	$1,618.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $440.86 / $529.03 / $834.99	Professional		$440.86	$529.03	$834.99