Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,896.04 / $9,859.00	Facility		$100.00	$4,896.04	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.85 / $1,503.93 / $1,503.93	Professional		$803.85	$1,503.93	$1,503.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $8,883.46 / $15,487.39	Facility		$4,769.10	$8,883.46	$15,487.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,270.03 / $2,289.08 / $3,650.08	Professional		$1,270.03	$2,289.08	$3,650.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,820.04 / $2,872.60 / $3,546.62	Professional		$1,820.04	$2,872.60	$3,546.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,336.94 / $2,552.41 / $4,402.27	Professional		$1,336.94	$2,552.41	$4,402.27
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 $1,678.08 / $2,672.02 / $6,842.04	Professional		$1,678.08	$2,672.02	$6,842.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $947.08 / $1,041.79 / $1,325.91	Professional		$947.08	$1,041.79	$1,325.91