Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,341.64 / $6,067.00	Facility		$100.00	$2,341.64	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,136.82 / $1,263.11 / $1,553.45	Professional		$1,136.82	$1,263.11	$1,553.45
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 $1,058.05 / $1,822.04 / $2,808.08	Professional		$1,058.05	$1,822.04	$2,808.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.09 / $1,751.69 / $1,812.99	Facility		$1,222.09	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,336.95 / $1,870.16 / $2,972.93	Professional		$1,336.95	$1,870.16	$2,972.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,211.25 / $1,987.18 / $3,738.52	Professional		$1,211.25	$1,987.18	$3,738.52
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 $1,224.76 / $1,772.33 / $3,219.68	Professional		$1,224.76	$1,772.33	$3,219.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $851.05 / $1,021.26 / $1,611.89	Professional		$851.05	$1,021.26	$1,611.89