Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,202.89 / $9,859.00	Facility		$100.00	$5,202.89	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,591.06 / $2,013.51 / $5,202.89	Professional		$1,591.06	$2,013.51	$5,202.89
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 $1,783.20 / $2,807.95 / $4,240.97	Professional		$1,783.20	$2,807.95	$4,240.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.76 / $3,044.39 / $4,863.00	Professional		$1,869.76	$3,044.39	$4,863.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,644.87 / $3,263.09 / $5,418.37	Professional		$1,644.87	$3,263.09	$5,418.37
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,907.02 / $2,602.55 / $4,848.92	Professional		$1,907.02	$2,602.55	$4,848.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,155.07 / $1,270.58 / $1,617.10	Professional		$1,155.07	$1,270.58	$1,617.10