Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,355.66 / $9,859.00	Facility		$100.00	$3,355.66	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.00 / $1,816.79 / $2,612.10	Professional		$1,712.00	$1,816.79	$2,612.10
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 $1,958.90 / $3,359.16 / $5,007.14	Professional		$1,958.90	$3,359.16	$5,007.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,252.73 / $2,252.73 / $2,252.73	Facility		$2,252.73	$2,252.73	$2,252.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,482.00 / $3,795.98 / $5,930.45	Professional		$2,482.00	$3,795.98	$5,930.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,242.54 / $3,527.96 / $6,921.60	Professional		$2,242.54	$3,527.96	$6,921.60
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 $2,193.28 / $3,025.86 / $5,719.55	Professional		$2,193.28	$3,025.86	$5,719.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,617.17 / $1,778.89 / $2,264.04	Professional		$1,617.17	$1,778.89	$2,264.04