Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,583.52 / $4,583.52	Facility		$100.00	$4,583.52	$4,583.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,299.76 / $1,353.07 / $1,752.51	Professional		$1,299.76	$1,353.07	$1,752.51
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 $1,322.00 / $2,360.67 / $3,793.84	Professional		$1,322.00	$2,360.67	$3,793.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $2,497.82 / $4,069.49	Professional		$1,300.00	$2,497.82	$4,069.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,513.42 / $2,617.91 / $4,671.17	Professional		$1,513.42	$2,617.91	$4,671.17
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 $1,531.87 / $2,229.10 / $3,957.18	Professional		$1,531.87	$2,229.10	$3,957.18
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,068.22 / $1,175.04 / $1,495.51	Professional		$1,068.22	$1,175.04	$1,495.51