Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,496.25 / $4,496.25	Facility		$100.00	$4,496.25	$4,496.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.26 / $1,327.94 / $1,720.55	Professional		$1,182.26	$1,327.94	$1,720.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,476.90 / $9,132.04 / $17,364.89	Facility		$3,476.90	$9,132.04	$17,364.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,298.71 / $2,319.10 / $3,727.01	Professional		$1,298.71	$2,319.10	$3,727.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,279.10 / $2,454.10 / $3,996.73	Professional		$1,279.10	$2,454.10	$3,996.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,486.75 / $2,571.78 / $4,588.85	Professional		$1,486.75	$2,571.78	$4,588.85
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 $1,505.09 / $2,295.85 / $4,376.87	Professional		$1,505.09	$2,295.85	$4,376.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,049.71 / $1,154.68 / $1,469.59	Professional		$1,049.71	$1,154.68	$1,469.59