Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,516.91 / $9,859.00	Facility		$100.00	$3,516.91	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,746.97 / $1,987.91 / $2,767.71	Professional		$1,746.97	$1,987.91	$2,767.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $16,696.31 / $29,108.25	Facility		$5,299.00	$16,696.31	$29,108.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,060.80 / $3,433.36 / $5,267.58	Professional		$2,060.80	$3,433.36	$5,267.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,382.40 / $2,382.40 / $2,382.40	Facility		$2,382.40	$2,382.40	$2,382.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,689.40 / $3,969.28 / $6,201.19	Professional		$2,689.40	$3,969.28	$6,201.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,359.17 / $3,711.46 / $7,281.61	Professional		$2,359.17	$3,711.46	$7,281.61
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,359.17 / $3,161.90 / $6,428.26	Professional		$2,359.17	$3,161.90	$6,428.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,682.16 / $1,850.38 / $2,355.02	Professional		$1,682.16	$1,850.38	$2,355.02