Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,368.54 / $6,368.54	Facility		$100.00	$6,368.54	$6,368.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,746.21 / $1,841.14 / $2,271.03	Professional		$1,746.21	$1,841.14	$2,271.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $7,096.40 / $13,494.06	Facility		$3,302.10	$7,096.40	$13,494.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,718.89 / $3,083.36 / $4,932.83	Professional		$1,718.89	$3,083.36	$4,932.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,720.56 / $3,293.99 / $5,339.62	Professional		$1,720.56	$3,293.99	$5,339.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,967.77 / $3,403.85 / $6,073.52	Professional		$1,967.77	$3,403.85	$6,073.52
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 $1,893.83 / $2,799.10 / $5,836.58	Professional		$1,893.83	$2,799.10	$5,836.58
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,408.67 / $1,549.54 / $1,972.14	Professional		$1,408.67	$1,549.54	$1,972.14