Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,357.12 / $9,859.00	Facility		$100.00	$2,357.12	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.74 / $1,286.67 / $1,831.76	Professional		$1,158.74	$1,286.67	$1,831.76
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 $1,378.28 / $2,296.27 / $3,523.03	Professional		$1,378.28	$2,296.27	$3,523.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,585.02 / $1,585.02 / $1,585.02	Facility		$1,585.02	$1,585.02	$1,585.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,768.26 / $2,499.50 / $4,143.26	Professional		$1,768.26	$2,499.50	$4,143.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,577.85 / $2,482.27 / $4,870.03	Professional		$1,577.85	$2,482.27	$4,870.03
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 $1,554.42 / $2,167.76 / $3,992.48	Professional		$1,554.42	$2,167.76	$3,992.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,115.85 / $1,227.45 / $1,562.20	Professional		$1,115.85	$1,227.45	$1,562.20