Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,768.46 / $9,859.00	Facility		$100.00	$4,768.46	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.96 / $2,123.30 / $4,768.46	Professional		$1,275.96	$2,123.30	$4,768.46
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 $1,438.28 / $2,348.21 / $3,640.24	Professional		$1,438.28	$2,348.21	$3,640.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,575.30 / $2,661.74 / $4,067.81	Professional		$1,575.30	$2,661.74	$4,067.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,376.41 / $2,730.52 / $4,534.03	Professional		$1,376.41	$2,730.52	$4,534.03
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,457.86 / $2,093.71 / $6,683.76	Professional		$1,457.86	$2,093.71	$6,683.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $971.72 / $1,068.89 / $1,360.41	Professional		$971.72	$1,068.89	$1,360.41