Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.32 / $1,161.83 / $1,473.71	Professional		$1,028.32	$1,161.83	$1,473.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,104.96 / $1,894.80 / $2,824.37	Professional		$1,104.96	$1,894.80	$2,824.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.64 / $2,472.40 / $2,558.92	Facility		$1,273.64	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,482.47 / $2,214.67 / $3,309.45	Professional		$1,482.47	$2,214.67	$3,309.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,264.94 / $2,075.26 / $3,904.24	Professional		$1,264.94	$2,075.26	$3,904.24
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 $1,289.52 / $1,902.86 / $3,837.14	Professional		$1,289.52	$1,902.86	$3,837.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $886.01 / $974.61 / $1,240.41	Professional		$886.01	$974.61	$1,240.41