Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,989.87 / $9,859.00	Facility		$100.00	$2,989.87	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.74 / $877.78 / $2,989.87	Professional		$814.74	$877.78	$2,989.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $13,932.60 / $24,290.01	Facility		$5,299.00	$13,932.60	$24,290.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.29 / $1,371.11 / $2,020.63	Professional		$904.29	$1,371.11	$2,020.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.28 / $1,727.76 / $2,471.46	Professional		$1,040.28	$1,727.76	$2,471.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $914.27 / $1,813.73 / $3,011.70	Professional		$914.27	$1,813.73	$3,011.70
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 $1,121.75 / $1,444.97 / $2,494.23	Professional		$1,121.75	$1,444.97	$2,494.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $643.99 / $708.39 / $901.59	Professional		$643.99	$708.39	$901.59