Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,619.52 / $9,859.00	Facility		$100.00	$3,619.52	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $888.05 / $3,619.52	Professional		$748.49	$888.05	$3,619.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $17,300.00 / $28,708.24	Facility		$8,512.20	$17,300.00	$28,708.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.52 / $1,765.08 / $2,606.69	Professional		$1,191.52	$1,765.08	$2,606.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,285.68 / $2,138.30 / $2,918.58	Professional		$1,285.68	$2,138.30	$2,918.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,094.60 / $2,171.48 / $3,605.75	Professional		$1,094.60	$2,171.48	$3,605.75
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 $1,328.67 / $1,736.42 / $3,361.69	Professional		$1,328.67	$1,736.42	$3,361.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $770.60 / $847.66 / $1,078.83	Professional		$770.60	$847.66	$1,078.83