Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $9,859.00	Facility		$100.00	$100.00	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $103.18 / $111.97	Professional		$92.09	$103.18	$111.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $58.90 / $64.54	Professional		$43.85	$58.90	$64.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.58 / $1,306.21 / $1,351.93	Facility		$102.58	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.20 / $427.20 / $427.20	Professional		$427.20	$427.20	$427.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $159.62 / $313.16	Professional		$101.46	$159.62	$313.16
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.67 / $144.47 / $250.85	Professional		$115.67	$144.47	$250.85
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