Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,558.55 / $6,067.00	Facility		$100.00	$1,558.55	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.33 / $283.33 / $1,558.55	Professional		$283.33	$283.33	$1,558.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,497.60 / $8,973.87 / $15,644.99	Facility		$1,497.60	$8,973.87	$15,644.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.99 / $734.40 / $1,069.00	Professional		$479.99	$734.40	$1,069.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.84 / $948.00 / $1,404.34	Professional		$547.84	$948.00	$1,404.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $519.53 / $1,030.64 / $1,711.38	Professional		$519.53	$1,030.64	$1,711.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.53 / $767.36 / $1,350.45	Professional		$519.53	$767.36	$1,350.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $355.92 / $422.78 / $627.84	Professional		$355.92	$422.78	$627.84