Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,320.60 / $9,859.00	Facility		$100.00	$4,320.60	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,088.82 / $1,847.04 / $4,320.60	Professional		$1,088.82	$1,847.04	$4,320.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,224.52 / $2,004.85 / $3,108.46	Professional		$1,224.52	$2,004.85	$3,108.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,345.93 / $2,268.36 / $3,475.02	Professional		$1,345.93	$2,268.36	$3,475.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,175.33 / $2,331.62 / $3,871.65	Professional		$1,175.33	$2,331.62	$3,871.65
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,369.47 / $2,007.56 / $3,636.19	Professional		$1,369.47	$2,007.56	$3,636.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $828.68 / $994.42 / $1,461.79	Professional		$828.68	$994.42	$1,461.79