Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,355.71 / $15,774.00	Facility		$100.00	$1,355.71	$15,774.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.93 / $289.33 / $1,274.51	Professional		$232.93	$289.33	$1,274.51
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 $365.52 / $507.21 / $719.15	Professional		$365.52	$507.21	$719.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.87 / $798.99 / $1,293.08	Professional		$453.87	$798.99	$1,293.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $468.34 / $859.68 / $1,488.77	Professional		$468.34	$859.68	$1,488.77
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 $533.34 / $624.65 / $1,213.01	Professional		$533.34	$624.65	$1,213.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $288.64 / $368.26 / $546.67	Professional		$288.64	$368.26	$546.67