Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,928.35 / $9,859.00	Facility		$100.00	$1,928.35	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.57 / $475.45 / $1,090.61	Professional		$431.57	$475.45	$1,090.61
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 $437.97 / $672.13 / $974.58	Professional		$437.97	$672.13	$974.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $656.95 / $1,008.19 / $1,461.88	Professional	50	$656.95	$1,008.19	$1,461.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.48 / $915.20 / $1,386.45	Professional		$577.48	$915.20	$1,386.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $603.27 / $1,001.23 / $1,984.11	Professional		$603.27	$1,001.23	$1,984.11
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 $744.76 / $903.96 / $1,718.33	Professional		$744.76	$903.96	$1,718.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $384.11 / $498.71 / $692.15	Professional		$384.11	$498.71	$692.15