Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,254.02 / $4,254.02	Facility		$100.00	$4,254.02	$4,254.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,232.74 / $1,269.29 / $1,657.79	Professional		$1,232.74	$1,269.29	$1,657.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.00 / $6,000.00	Facility		$3,302.10	$3,669.00	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,267.98 / $2,274.52 / $3,638.82	Professional		$1,267.98	$2,274.52	$3,638.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,113.92 / $2,402.71 / $3,878.46	Professional		$1,113.92	$2,402.71	$3,878.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,451.58 / $2,510.94 / $4,480.30	Professional		$1,451.58	$2,510.94	$4,480.30
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 $1,292.85 / $1,899.62 / $3,721.56	Professional		$1,292.85	$1,899.62	$3,721.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,007.02 / $1,107.72 / $1,409.83	Professional		$1,007.02	$1,107.72	$1,409.83