Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,676.48 / $9,859.00	Facility		$100.00	$2,676.48	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,499.24 / $1,570.68 / $2,077.01	Professional		$1,499.24	$1,570.68	$2,077.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,560.72 / $2,676.35 / $3,989.34	Professional		$1,560.72	$2,676.35	$3,989.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,794.83 / $3,906.58 / $4,043.31	Facility		$1,794.83	$3,906.58	$4,043.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,046.72 / $3,031.49 / $4,736.08	Professional		$2,046.72	$3,031.49	$4,736.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,786.70 / $2,931.26 / $5,514.65	Professional		$1,786.70	$2,931.26	$5,514.65
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 $1,783.00 / $2,385.27 / $4,574.47	Professional		$1,783.00	$2,385.27	$4,574.47
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,291.82 / $1,421.00 / $1,808.55	Professional		$1,291.82	$1,421.00	$1,808.55