Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,872.87 / $17,401.84	Facility		$100.00	$4,872.87	$17,401.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.93 / $1,413.92 / $1,413.92	Professional		$811.93	$1,413.92	$1,413.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,281.33 / $2,307.52 / $3,677.41	Professional		$1,281.33	$2,307.52	$3,677.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,832.54 / $2,893.95 / $3,572.98	Professional		$1,832.54	$2,893.95	$3,572.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,386.80 / $2,688.65 / $4,790.39	Professional		$1,386.80	$2,688.65	$4,790.39
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,633.93 / $2,309.48 / $4,790.39	Professional		$1,633.93	$2,309.48	$4,790.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $956.77 / $1,052.45 / $1,339.48	Professional		$956.77	$1,052.45	$1,339.48