Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,417.53 / $8,965.00	Facility		$100.00	$1,417.53	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.85 / $500.13 / $1,417.53	Professional		$354.85	$500.13	$1,417.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,050.00	Facility		$8,992.79	$9,992.00	$19,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.80 / $601.07 / $866.32	Professional		$410.80	$601.07	$866.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.53 / $833.19 / $1,388.28	Professional		$455.53	$833.19	$1,388.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $432.47 / $800.49 / $1,451.52	Professional		$432.47	$800.49	$1,451.52
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.42 / $708.22 / $1,374.40	Professional		$575.42	$708.22	$1,374.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $269.83 / $330.42 / $396.50	Professional		$269.83	$330.42	$396.50