Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,961.33 / $9,859.00	Facility		$100.00	$1,961.33	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.44 / $570.19 / $1,493.30	Professional		$423.44	$570.19	$1,493.30
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 $440.24 / $691.34 / $979.62	Professional		$440.24	$691.34	$979.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $660.36 / $1,037.02 / $1,469.43	Professional	50	$660.36	$1,037.02	$1,469.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.42 / $952.11 / $1,537.53	Professional		$580.42	$952.11	$1,537.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $606.39 / $1,056.04 / $2,174.80	Professional		$606.39	$1,056.04	$2,174.80
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 $757.92 / $947.91 / $1,901.01	Professional		$757.92	$947.91	$1,901.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $358.08 / $501.31 / $615.41	Professional		$358.08	$501.31	$615.41