Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,603.58 / $9,859.00	Facility		$100.00	$4,603.58	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,173.05 / $1,643.04 / $4,603.58	Professional		$1,173.05	$1,643.04	$4,603.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $9,734.34 / $16,970.79	Facility		$3,669.00	$9,734.34	$16,970.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,382.15 / $2,161.27 / $3,263.33	Professional		$1,382.15	$2,161.27	$3,263.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,448.51 / $2,347.76 / $3,739.12	Professional		$1,448.51	$2,347.76	$3,739.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,265.69 / $2,510.88 / $4,169.31	Professional		$1,265.69	$2,510.88	$4,169.31
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 $1,537.99 / $2,168.71 / $3,741.03	Professional		$1,537.99	$2,168.71	$3,741.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $894.61 / $984.07 / $1,252.45	Professional		$894.61	$984.07	$1,252.45