Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.62 / $1,188.36 / $1,188.36	Professional		$852.62	$1,188.36	$1,188.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,050.00	Facility		$8,992.79	$9,992.00	$19,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $968.83 / $1,556.81 / $2,288.01	Professional		$968.83	$1,556.81	$2,288.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.58 / $1,905.37 / $2,595.28	Professional		$1,126.58	$1,905.37	$2,595.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $964.63 / $1,913.63 / $3,177.59	Professional		$964.63	$1,913.63	$3,177.59
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 $1,108.69 / $1,703.78 / $5,732.82	Professional		$1,108.69	$1,703.78	$5,732.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $590.41 / $698.18 / $826.59	Professional		$590.41	$698.18	$826.59