Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,113.20 / $9,859.00	Facility		$100.00	$4,113.20	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.00 / $1,183.91 / $1,183.91	Professional		$672.00	$1,183.91	$1,183.91
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 $1,061.42 / $1,912.66 / $3,051.35	Professional		$1,061.42	$1,912.66	$3,051.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.86 / $2,400.94 / $2,964.31	Professional		$1,521.86	$2,400.94	$2,964.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,117.65 / $2,133.73 / $3,680.17	Professional		$1,117.65	$2,133.73	$3,680.17
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 $1,358.25 / $2,023.21 / $3,895.22	Professional		$1,358.25	$2,023.21	$3,895.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $791.85 / $871.04 / $1,108.58	Professional		$791.85	$871.04	$1,108.58