Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $9,859.00	Facility		$100.00	$100.00	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.58 / $698.50 / $2,316.56	Professional		$663.58	$698.50	$2,316.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,960.03 / $1,960.03 / $2,192.03	Professional		$1,960.03	$1,960.03	$2,192.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,248.48 / $5,257.46 / $5,441.47	Facility		$2,248.48	$5,257.46	$5,441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,360.83 / $9,360.83 / $9,360.83	Professional		$9,360.83	$9,360.83	$9,360.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,223.28 / $3,497.66 / $6,862.15	Professional		$2,223.28	$3,497.66	$6,862.15
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $802.40 / $2,875.77 / $5,810.18	Professional		$802.40	$2,875.77	$5,810.18
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00