Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,175.01 / $9,859.00	Facility		$100.00	$4,175.01	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,314.98 / $2,620.19 / $3,313.54	Professional		$2,314.98	$2,620.19	$3,313.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $20,162.41 / $35,151.03	Facility		$3,669.00	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,452.84 / $4,194.37 / $6,269.68	Professional		$2,452.84	$4,194.37	$6,269.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,847.41 / $2,847.41 / $2,847.41	Facility		$2,847.41	$2,847.41	$2,847.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,541.71 / $4,403.07 / $7,345.02	Professional		$2,541.71	$4,403.07	$7,345.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,807.98 / $4,417.51 / $8,666.83	Professional		$2,807.98	$4,417.51	$8,666.83
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 $2,120.55 / $3,482.44 / $7,624.53	Professional		$2,120.55	$3,482.44	$7,624.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,989.74 / $2,188.71 / $2,785.64	Professional		$1,989.74	$2,188.71	$2,785.64