Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,815.32 / $6,067.00	Facility		$100.00	$1,815.32	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.72 / $654.96 / $1,815.32	Professional		$470.72	$654.96	$1,815.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.16 / $863.48 / $1,304.17	Professional		$546.16	$863.48	$1,304.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.58 / $935.26 / $1,493.95	Professional		$580.58	$935.26	$1,493.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $505.83 / $1,003.47 / $1,666.25	Professional		$505.83	$1,003.47	$1,666.25
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.34 / $762.58 / $1,529.73	Professional		$576.34	$762.58	$1,529.73
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $355.00 / $390.50 / $497.00	Professional		$355.00	$390.50	$497.00