Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,610.80 / $2,610.80	Facility		$100.00	$2,610.80	$2,610.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.70 / $756.78 / $994.01	Professional		$711.70	$756.78	$994.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,476.90 / $9,132.04 / $17,364.89	Facility		$3,476.90	$9,132.04	$17,364.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $754.32 / $1,346.98 / $2,164.71	Professional		$754.32	$1,346.98	$2,164.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.46 / $1,426.72 / $2,313.91	Professional		$784.46	$1,426.72	$2,313.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $863.54 / $1,493.75 / $2,665.32	Professional		$863.54	$1,493.75	$2,665.32
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 $807.69 / $1,170.71 / $2,240.42	Professional		$807.69	$1,170.71	$2,240.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $605.21 / $665.73 / $847.29	Professional		$605.21	$665.73	$847.29