Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,439.87 / $6,067.00	Facility		$100.00	$1,439.87	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.54 / $408.32 / $1,057.34	Professional		$362.54	$408.32	$1,057.34
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 $376.51 / $577.80 / $837.82	Professional		$376.51	$577.80	$837.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.47 / $705.42 / $1,027.74	Professional		$496.47	$705.42	$1,027.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $483.98 / $811.01 / $1,493.80	Professional		$483.98	$811.01	$1,493.80
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 $533.10 / $643.41 / $1,290.33	Professional		$533.10	$643.41	$1,290.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $307.05 / $358.63 / $429.87	Professional		$307.05	$358.63	$429.87