Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,415.05 / $8,113.48	Facility		$100.00	$3,415.05	$8,113.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,929.96 / $2,142.79 / $2,697.18	Professional		$1,929.96	$2,142.79	$2,697.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $20,162.41 / $35,151.03	Facility		$8,512.20	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,004.51 / $3,437.37 / $5,123.71	Professional		$2,004.51	$3,437.37	$5,123.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,322.34 / $2,322.34 / $2,322.34	Facility		$2,322.34	$2,322.34	$2,322.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,671.28 / $4,207.53 / $6,003.85	Professional		$2,671.28	$4,207.53	$6,003.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,294.75 / $3,624.10 / $7,082.75	Professional		$2,294.75	$3,624.10	$7,082.75
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,333.27 / $3,631.11 / $6,201.49	Professional		$2,333.27	$3,631.11	$6,201.49
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,619.80 / $1,781.78 / $2,267.71	Professional		$1,619.80	$1,781.78	$2,267.71