Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,704.53 / $9,859.00	Facility		$100.00	$2,704.53	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.85 / $795.04 / $2,704.53	Professional		$737.85	$795.04	$2,704.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.99 / $1,218.77 / $1,797.21	Professional		$815.99	$1,218.77	$1,797.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $924.07 / $1,611.82 / $2,193.69	Professional		$924.07	$1,611.82	$2,193.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $813.18 / $1,613.19 / $2,678.70	Professional		$813.18	$1,613.19	$2,678.70
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,005.98 / $1,388.59 / $2,697.72	Professional		$1,005.98	$1,388.59	$2,697.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $576.83 / $692.20 / $1,092.52	Professional		$576.83	$692.20	$1,092.52