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 $1,084.40 / $1,222.45 / $1,506.83	Professional		$1,084.40	$1,222.45	$1,506.83
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 $1,029.58 / $1,773.03 / $2,732.55	Professional		$1,029.58	$1,773.03	$2,732.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,189.38 / $1,751.69 / $1,812.99	Facility		$1,189.38	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.58 / $1,821.08 / $2,890.49	Professional		$1,300.58	$1,821.08	$2,890.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,178.66 / $1,933.71 / $3,637.93	Professional		$1,178.66	$1,933.71	$3,637.93
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 $1,193.44 / $1,535.01 / $3,049.20	Professional		$1,193.44	$1,535.01	$3,049.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $827.60 / $910.36 / $1,158.64	Professional		$827.60	$910.36	$1,158.64