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 $949.70 / $1,054.13 / $1,355.41	Professional		$949.70	$1,054.13	$1,355.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,021.83 / $1,713.11 / $2,611.87	Professional		$1,021.83	$1,713.11	$2,611.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,175.09 / $2,862.32 / $2,962.50	Facility		$1,175.09	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,290.58 / $1,845.66 / $3,059.74	Professional		$1,290.58	$1,845.66	$3,059.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,169.78 / $1,919.14 / $3,610.53	Professional		$1,169.78	$1,919.14	$3,610.53
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,192.99 / $1,533.81 / $2,961.26	Professional		$1,192.99	$1,533.81	$2,961.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $816.96 / $898.66 / $1,143.74	Professional		$816.96	$898.66	$1,143.74