Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $9,004.52 / $9,859.00	Facility		$100.00	$9,004.52	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,156.81 / $2,863.69 / $9,004.52	Professional		$2,156.81	$2,863.69	$9,004.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $16,696.31 / $29,108.25	Facility		$5,299.00	$16,696.31	$29,108.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,799.28 / $4,432.83 / $6,496.61	Professional		$2,799.28	$4,432.83	$6,496.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,222.95 / $5,342.76 / $7,640.02	Professional		$3,222.95	$5,342.76	$7,640.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,813.54 / $5,581.50 / $9,268.08	Professional		$2,813.54	$5,581.50	$9,268.08
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 $3,415.58 / $5,067.52 / $7,614.12	Professional		$3,415.58	$5,067.52	$7,614.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,964.48 / $2,160.92 / $2,750.27	Professional		$1,964.48	$2,160.92	$2,750.27