Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,133.53 / $9,859.00	Facility		$100.00	$4,133.53	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,233.19 / $1,370.96 / $1,403.82	Professional		$1,233.19	$1,370.96	$1,403.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,481.20 / $13,868.00 / $21,869.00	Facility		$12,481.20	$13,868.00	$21,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,372.04 / $2,845.23 / $4,674.56	Professional		$1,372.04	$2,845.23	$4,674.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50,123.00 / $52,267.00 / $61,633.00	Facility		$50,123.00	$52,267.00	$61,633.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,867.32 / $2,981.40 / $4,532.87	Professional		$1,867.32	$2,981.40	$4,532.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,479.48 / $2,868.33 / $5,110.53	Professional		$1,479.48	$2,868.33	$5,110.53
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,767.06 / $2,552.75 / $4,203.51	Professional		$1,767.06	$2,552.75	$4,203.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,032.08 / $1,135.30 / $1,444.93	Professional		$1,032.08	$1,135.30	$1,444.93