Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,067.91 / $9,859.00	Facility		$100.00	$3,067.91	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,639.71 / $2,003.55 / $2,450.12	Professional		$1,639.71	$2,003.55	$2,450.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $36,315.22 / $63,311.75	Facility		$3,669.00	$36,315.22	$63,311.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,816.58 / $3,115.10 / $4,643.34	Professional		$1,816.58	$3,115.10	$4,643.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,097.92 / $2,097.92 / $2,097.92	Facility		$2,097.92	$2,097.92	$2,097.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,346.04 / $3,418.82 / $5,384.78	Professional		$2,346.04	$3,418.82	$5,384.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,079.60 / $3,271.63 / $6,418.69	Professional		$2,079.60	$3,271.63	$6,418.69
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 $2,045.27 / $2,690.74 / $5,037.34	Professional		$2,045.27	$2,690.74	$5,037.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,421.62 / $1,563.78 / $1,990.27	Professional		$1,421.62	$1,563.78	$1,990.27