Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,059.31 / $8,965.00	Facility		$100.00	$1,059.31	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.93 / $361.23 / $434.26	Professional		$309.93	$361.23	$434.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36,317.69 / $40,353.00 / $63,632.00	Facility		$36,317.69	$40,353.00	$63,632.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.52 / $534.75 / $824.14	Professional		$310.52	$534.75	$824.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.11 / $1,306.21 / $1,351.93	Facility		$357.11	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.84 / $548.66 / $854.97	Professional		$391.84	$548.66	$854.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $355.49 / $583.22 / $1,097.22	Professional		$355.49	$583.22	$1,097.22
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.49 / $509.69 / $901.90	Professional		$355.49	$509.69	$901.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $245.09 / $269.60 / $343.13	Professional		$245.09	$269.60	$343.13