Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,713.33 / $2,713.33 / $3,256.00	Facility		$2,713.33	$2,713.33	$3,256.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,983.18 / $2,105.48 / $2,713.33	Professional		$1,983.18	$2,105.48	$2,713.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,818.83 / $4,818.83 / $5,712.24	Facility		$4,818.83	$4,818.83	$5,712.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,815.24 / $2,828.47 / $2,828.47	Professional		$2,815.24	$2,828.47	$2,828.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $2,756.64 / $2,756.64	Facility		$2,756.64	$2,756.64	$2,756.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,012.35 / $2,756.64	Professional		$2,012.35	$2,012.35	$2,756.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,901.60 / $3,901.60 / $12,042.29	Professional		$3,901.60	$3,901.60	$12,042.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,602.71 / $2,404.07 / $2,882.81	Professional		$1,602.71	$2,404.07	$2,882.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $3,609.16 / $3,970.08 / $5,052.82	Professional		$3,609.16	$3,970.08	$5,052.82