Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,842.93 / $9,859.00	Facility		$100.00	$2,842.93	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,563.39 / $1,780.05 / $2,237.92	Professional		$1,563.39	$1,780.05	$2,237.92
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 $1,668.11 / $2,860.50 / $4,263.84	Professional		$1,668.11	$2,860.50	$4,263.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,928.89 / $1,928.89 / $1,928.89	Facility		$1,928.89	$1,928.89	$1,928.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,199.58 / $3,007.55 / $4,990.67	Professional		$2,199.58	$3,007.55	$4,990.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,909.64 / $3,004.25 / $5,894.10	Professional		$1,909.64	$3,004.25	$5,894.10
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 $1,971.95 / $2,714.51 / $4,743.04	Professional		$1,971.95	$2,714.51	$4,743.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,345.92 / $1,480.51 / $1,884.29	Professional		$1,345.92	$1,480.51	$1,884.29