Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,960.98 / $9,859.00	Facility		$100.00	$1,960.98	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.05 / $567.63 / $1,495.63	Professional		$449.05	$567.63	$1,495.63
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 $439.59 / $677.88 / $978.18	Professional		$439.59	$677.88	$978.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $659.38 / $1,016.82 / $1,467.27	Professional	50	$659.38	$1,016.82	$1,467.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.55 / $952.45 / $1,476.13	Professional		$579.55	$952.45	$1,476.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $605.50 / $1,043.72 / $2,090.81	Professional		$605.50	$1,043.72	$2,090.81
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 $744.17 / $939.75 / $1,824.91	Professional		$744.17	$939.75	$1,824.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $393.83 / $501.24 / $711.40	Professional		$393.83	$501.24	$711.40