Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,777.03 / $9,859.00	Facility		$100.00	$3,777.03	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,872.91 / $2,130.63 / $3,025.15	Professional		$1,872.91	$2,130.63	$3,025.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,458.00 / $36,315.22 / $63,311.75	Facility		$9,458.00	$36,315.22	$63,311.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.05 / $3,837.85 / $5,720.66	Professional		$2,238.05	$3,837.85	$5,720.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,586.94 / $2,586.94 / $2,586.94	Facility		$2,586.94	$2,586.94	$2,586.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,731.28 / $4,206.50 / $6,632.48	Professional		$2,731.28	$4,206.50	$6,632.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,562.11 / $4,203.39 / $7,907.95	Professional		$2,562.11	$4,203.39	$7,907.95
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 $2,229.28 / $3,448.58 / $6,769.32	Professional		$2,229.28	$3,448.58	$6,769.32
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,758.06 / $1,933.87 / $2,461.28	Professional		$1,758.06	$1,933.87	$2,461.28