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 $1,251.03 / $1,417.23 / $2,110.37	Professional		$1,251.03	$1,417.23	$2,110.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,050.00	Facility		$8,992.79	$9,992.00	$19,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,350.47 / $2,249.92 / $3,451.91	Professional		$1,350.47	$2,249.92	$3,451.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,554.52 / $1,554.52 / $1,554.52	Facility		$1,554.52	$1,554.52	$1,554.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,794.70 / $2,585.39 / $4,039.15	Professional		$1,794.70	$2,585.39	$4,039.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,546.00 / $2,536.37 / $4,771.72	Professional		$1,546.00	$2,536.37	$4,771.72
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 $1,574.57 / $2,325.09 / $8,861.43	Professional		$1,574.57	$2,325.09	$8,861.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,082.77 / $1,299.32 / $2,050.77	Professional		$1,082.77	$1,299.32	$2,050.77