Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,065.90 / $9,859.00	Facility		$100.00	$2,065.90	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.69 / $727.95 / $1,503.14	Professional		$401.69	$727.95	$1,503.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.76 / $734.41 / $1,107.50	Professional		$471.76	$734.41	$1,107.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.89 / $840.43 / $1,270.55	Professional		$490.89	$840.43	$1,270.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $429.55 / $852.14 / $1,414.98	Professional		$429.55	$852.14	$1,414.98
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 $535.79 / $760.96 / $1,528.30	Professional		$535.79	$760.96	$1,528.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $331.41 / $420.38 / $591.20	Professional		$331.41	$420.38	$591.20