Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,557.56 / $9,859.00	Facility		$100.00	$4,557.56	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,177.30 / $1,636.40 / $4,557.56	Professional		$1,177.30	$1,636.40	$4,557.56
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 $1,384.24 / $2,168.26 / $3,275.74	Professional		$1,384.24	$2,168.26	$3,275.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,453.96 / $2,349.78 / $3,753.45	Professional		$1,453.96	$2,349.78	$3,753.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,270.50 / $2,520.42 / $4,185.14	Professional		$1,270.50	$2,520.42	$4,185.14
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 $1,440.49 / $2,175.91 / $3,842.25	Professional		$1,440.49	$2,175.91	$3,842.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $897.55 / $987.31 / $1,256.57	Professional		$897.55	$987.31	$1,256.57