Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,381.96 / $5,381.96	Facility		$100.00	$5,381.96	$5,381.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,387.13 / $1,556.25 / $1,850.45	Professional		$1,387.13	$1,556.25	$1,850.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $15,307.77 / $29,108.25	Facility		$4,769.10	$15,307.77	$29,108.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,389.28 / $2,492.10 / $3,986.91	Professional		$1,389.28	$2,492.10	$3,986.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,369.71 / $2,619.14 / $4,265.37	Professional		$1,369.71	$2,619.14	$4,265.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,590.44 / $2,751.14 / $4,908.89	Professional		$1,590.44	$2,751.14	$4,908.89
United Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $3,360.00 / $7,448.00	Facility		$451.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,590.44 / $2,507.60 / $5,112.70	Professional		$1,590.44	$2,507.60	$5,112.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,122.58 / $1,234.84 / $1,571.63	Professional		$1,122.58	$1,234.84	$1,571.63