Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,713.17 / $9,859.00	Facility		$100.00	$3,713.17	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.86 / $1,332.42 / $3,713.17	Professional		$952.86	$1,332.42	$3,713.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $14,347.98 / $25,014.19	Facility		$5,299.00	$14,347.98	$25,014.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,120.78 / $1,754.32 / $2,652.29	Professional		$1,120.78	$1,754.32	$2,652.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,178.07 / $1,901.42 / $3,037.26	Professional		$1,178.07	$1,901.42	$3,037.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,028.69 / $2,040.72 / $3,388.61	Professional		$1,028.69	$2,040.72	$3,388.61
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 $1,263.77 / $1,555.41 / $3,018.46	Professional		$1,263.77	$1,555.41	$3,018.46
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $722.22 / $866.66 / $1,274.00	Professional		$722.22	$866.66	$1,274.00