Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,916.80	Facility		$3,264.00	$3,264.00	$3,916.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,649.60 / $3,264.00 / $3,840.00	Professional		$2,649.60	$3,264.00	$3,840.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,911.86 / $5,760.00 / $8,467.54	Facility		$2,911.86	$5,760.00	$8,467.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,264.00 / $3,264.00	Professional		$3,200.00	$3,264.00	$3,264.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Facility		$3,264.00	$3,264.00	$3,264.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Professional		$3,264.00	$3,264.00	$3,264.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $8,104.84	Professional		$3,264.00	$3,264.00	$8,104.84
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,264.00	Professional		$3,200.00	$3,200.00	$3,264.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $3,366.00 / $3,702.60 / $4,712.39	Professional		$3,366.00	$3,702.60	$4,712.39