Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,648.92 / $9,859.00	Facility		$100.00	$4,648.92	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.43 / $1,918.85 / $4,648.92	Professional		$1,395.43	$1,918.85	$4,648.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $20,162.41 / $35,151.03	Facility		$8,512.20	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,645.04 / $2,642.28 / $3,867.50	Professional		$1,645.04	$2,642.28	$3,867.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,764.54 / $2,878.62 / $4,159.24	Professional		$1,764.54	$2,878.62	$4,159.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,564.89 / $3,104.43 / $5,154.89	Professional		$1,564.89	$3,104.43	$5,154.89
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 $1,772.24 / $2,415.71 / $4,081.59	Professional		$1,772.24	$2,415.71	$4,081.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,071.75 / $1,283.26 / $1,890.57	Professional		$1,071.75	$1,283.26	$1,890.57