Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.39 / $677.64 / $1,927.45	Facility		$308.39	$677.64	$1,927.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.44 / $245.44 / $245.44	Professional		$245.44	$245.44	$245.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $452.95 / $503.34 / $1,073.86	Facility		$452.95	$503.34	$1,073.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $178.97 / $178.98	Professional		$110.14	$178.97	$178.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $497.21 / $1,006.71 / $1,207.94	Facility		$497.21	$1,006.71	$1,207.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $275.35 / $399.64 / $907.03	Professional		$275.35	$399.64	$907.03
United Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $165.21 / $275.35	Professional		$115.65	$165.21	$275.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00