Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,764.10 / $9,859.00	Facility		$100.00	$3,764.10	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,418.61 / $1,603.15 / $1,973.33	Professional		$1,418.61	$1,603.15	$1,973.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,357.26 / $2,347.87 / $3,602.18	Professional		$1,357.26	$2,347.87	$3,602.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,570.90 / $5,257.46 / $5,441.47	Facility		$1,570.90	$5,257.46	$5,441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,690.55 / $2,562.21 / $3,826.78	Professional		$1,690.55	$2,562.21	$3,826.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,553.78 / $2,549.13 / $4,795.74	Professional		$1,553.78	$2,549.13	$4,795.74
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,570.33 / $2,134.17 / $4,036.89	Professional		$1,570.33	$2,134.17	$4,036.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,090.95 / $1,200.05 / $1,527.33	Professional		$1,090.95	$1,200.05	$1,527.33