Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,678.80 / $9,859.00	Facility		$100.00	$2,678.80	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.66 / $1,228.07 / $1,581.11	Professional		$1,123.66	$1,228.07	$1,581.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,059.67 / $1,824.83 / $2,812.38	Professional		$1,059.67	$1,824.83	$2,812.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,223.35 / $2,000.36 / $2,070.38	Facility		$1,223.35	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.89 / $1,884.00 / $2,904.63	Professional		$1,315.89	$1,884.00	$2,904.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,213.09 / $1,990.21 / $3,744.23	Professional		$1,213.09	$1,990.21	$3,744.23
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 $1,195.78 / $1,731.60 / $7,509.58	Professional		$1,195.78	$1,731.60	$7,509.58
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $830.05 / $913.06 / $1,162.07	Professional		$830.05	$913.06	$1,162.07