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 / $6,067.00	Facility		$100.00	$2,331.21	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.17 / $731.21 / $1,808.31	Professional		$524.17	$731.21	$1,808.31
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 $534.36 / $820.05 / $1,189.07	Professional		$534.36	$820.05	$1,189.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.94 / $1,158.13 / $1,774.20	Professional		$704.94	$1,158.13	$1,774.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $736.05 / $1,265.34 / $2,508.52	Professional		$736.05	$1,265.34	$2,508.52
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 $875.72 / $1,058.76 / $2,221.92	Professional		$875.72	$1,058.76	$2,221.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $436.38 / $599.27 / $719.12	Professional		$436.38	$599.27	$719.12