Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,928.02 / $6,067.00	Facility		$100.00	$3,928.02	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,041.72 / $1,471.30 / $3,928.02	Professional		$1,041.72	$1,471.30	$3,928.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,225.33 / $1,926.01 / $2,909.11	Professional		$1,225.33	$1,926.01	$2,909.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,292.72 / $2,087.11 / $3,333.88	Professional		$1,292.72	$2,087.11	$3,333.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,128.30 / $2,238.32 / $3,716.73	Professional		$1,128.30	$2,238.32	$3,716.73
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,279.46 / $1,922.15 / $4,014.38	Professional		$1,279.46	$1,922.15	$4,014.38
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $793.80 / $873.18 / $1,111.32	Professional		$793.80	$873.18	$1,111.32