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 $1,190.36 / $1,345.94 / $1,703.20	Professional		$1,190.36	$1,345.94	$1,703.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24,135.11 / $43,638.29 / $63,311.75	Facility		$24,135.11	$43,638.29	$63,311.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.09 / $2,186.56 / $3,259.26	Professional		$1,275.09	$2,186.56	$3,259.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,471.08 / $1,471.08 / $1,471.08	Facility		$1,471.08	$1,471.08	$1,471.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,651.15 / $2,301.48 / $3,819.03	Professional		$1,651.15	$2,301.48	$3,819.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,459.72 / $2,296.42 / $4,505.43	Professional		$1,459.72	$2,296.42	$4,505.43
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 $1,477.27 / $1,979.75 / $3,914.39	Professional		$1,477.27	$1,979.75	$3,914.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,024.13 / $1,126.54 / $1,433.78	Professional		$1,024.13	$1,126.54	$1,433.78