Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,438.50 / $9,859.00	Facility		$100.00	$5,438.50	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.45 / $1,991.84 / $5,438.50	Professional		$1,483.45	$1,991.84	$5,438.50
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 $1,911.59 / $3,005.69 / $4,539.81	Professional		$1,911.59	$3,005.69	$4,539.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,000.99 / $3,259.73 / $5,206.97	Professional		$2,000.99	$3,259.73	$5,206.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,760.78 / $3,493.04 / $5,800.19	Professional		$1,760.78	$3,493.04	$5,800.19
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 $2,034.83 / $2,343.54 / $5,197.64	Professional		$2,034.83	$2,343.54	$5,197.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,237.80 / $1,361.58 / $1,732.92	Professional		$1,237.80	$1,361.58	$1,732.92