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 / $2,663.95	Facility		$100.00	$2,331.21	$2,663.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.24 / $845.10 / $1,094.26	Professional		$757.24	$845.10	$1,094.26
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 $756.26 / $1,302.33 / $2,007.14	Professional		$756.26	$1,302.33	$2,007.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $869.70 / $869.70 / $869.70	Facility		$869.70	$869.70	$869.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.28 / $1,336.22 / $2,028.67	Professional		$942.28	$1,336.22	$2,028.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $865.76 / $1,420.37 / $2,672.17	Professional		$865.76	$1,420.37	$2,672.17
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 $831.21 / $1,079.82 / $2,115.48	Professional		$831.21	$1,079.82	$2,115.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $633.16 / $805.84	Professional		$575.60	$633.16	$805.84