Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $7,312.25 / $9,859.00	Facility		$100.00	$7,312.25	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,615.76 / $1,867.77 / $7,312.25	Professional		$1,615.76	$1,867.77	$7,312.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $16,696.31 / $29,108.25	Facility		$5,299.00	$16,696.31	$29,108.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,480.67 / $3,671.20 / $5,392.43	Professional		$2,480.67	$3,671.20	$5,392.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,604.41 / $4,306.91 / $6,155.74	Professional		$2,604.41	$4,306.91	$6,155.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,264.38 / $4,492.08 / $7,459.09	Professional		$2,264.38	$4,492.08	$7,459.09
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,696.83 / $3,892.75 / $8,056.44	Professional		$2,696.83	$3,892.75	$8,056.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,620.41 / $1,782.45 / $2,268.57	Professional		$1,620.41	$1,782.45	$2,268.57