Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,101.83 / $9,859.00	Facility		$100.00	$5,101.83	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.48 / $1,235.75 / $5,101.83	Professional		$1,030.48	$1,235.75	$5,101.83
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 $1,651.28 / $2,446.87 / $3,608.47	Professional		$1,651.28	$2,446.87	$3,608.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,712.81 / $2,807.56 / $4,043.23	Professional		$1,712.81	$2,807.56	$4,043.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,515.27 / $3,005.99 / $4,991.45	Professional		$1,515.27	$3,005.99	$4,991.45
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 $1,848.28 / $2,492.62 / $5,391.18	Professional		$1,848.28	$2,492.62	$5,391.18
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,067.13 / $1,280.56 / $1,882.42	Professional		$1,067.13	$1,280.56	$1,882.42