Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,407.57 / $9,859.00	Facility		$100.00	$1,407.57	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.93 / $335.51 / $822.49	Professional		$249.93	$335.51	$822.49
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 $322.20 / $472.86 / $736.32	Professional		$322.20	$472.86	$736.32
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $483.30 / $709.29 / $1,104.48	Professional	50	$483.30	$709.29	$1,104.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.59 / $740.85 / $1,169.24	Professional		$403.59	$740.85	$1,169.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $365.80 / $701.39 / $1,313.21	Professional		$365.80	$701.39	$1,313.21
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 $515.03 / $660.25 / $1,148.13	Professional		$515.03	$660.25	$1,148.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $225.05 / $323.07 / $429.42	Professional		$225.05	$323.07	$429.42