Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,897.79 / $25,703.96	Facility		$1,047.13	$4,897.79	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,348.96	Professional		$1,000.00	$1,047.13	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,698.24 / $3,981.07	Facility		$676.08	$1,698.24	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,258.93	Professional		$1,096.48	$1,096.48	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,778.28	Professional		$1,096.48	$1,096.48	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,096.48	Professional		$1,047.13	$1,096.48	$1,096.48
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,698.24	Facility		$1,047.13	$1,047.13	$1,698.24