Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $6,067.00	Facility		$100.00	$2,331.21	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.05 / $728.09 / $2,731.06	Professional		$405.05	$728.09	$2,731.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.42 / $899.33 / $3,132.49	Professional		$455.42	$899.33	$3,132.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.94 / $1,617.88 / $5,090.63	Professional		$508.94	$1,617.88	$5,090.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $487.74 / $1,775.59 / $5,442.72	Professional		$487.74	$1,775.59	$5,442.72
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 $2,488.58 / $3,190.24 / $5,943.87	Professional		$2,488.58	$3,190.24	$5,943.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $1,105.55 / $2,198.84	Professional		$325.39	$1,105.55	$2,198.84