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 $1,163.26 / $1,308.83 / $1,668.79	Professional		$1,163.26	$1,308.83	$1,668.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,534.28 / $9,157.56 / $15,965.24	Facility		$3,534.28	$9,157.56	$15,965.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,248.25 / $2,114.91 / $3,190.63	Professional		$1,248.25	$2,114.91	$3,190.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.74 / $1,440.74 / $1,440.74	Facility		$1,440.74	$1,440.74	$1,440.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,628.75 / $2,252.71 / $3,738.11	Professional		$1,628.75	$2,252.71	$3,738.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,428.99 / $2,248.09 / $4,410.58	Professional		$1,428.99	$2,248.09	$4,410.58
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 $1,428.99 / $1,886.74 / $3,601.79	Professional		$1,428.99	$1,886.74	$3,601.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,003.43 / $1,103.77 / $1,404.80	Professional		$1,003.43	$1,103.77	$1,404.80