Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $175.93 / $2,331.21	Facility		$100.00	$175.93	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $75.89 / $174.83	Professional		$25.96	$75.89	$174.83
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 $32.67 / $76.04 / $163.22	Professional		$32.67	$76.04	$163.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.75 / $103.39 / $256.30	Professional		$37.75	$103.39	$256.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $115.44 / $306.64	Professional		$42.61	$115.44	$306.64
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 $89.46 / $163.93 / $360.86	Professional		$89.46	$163.93	$360.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $51.04 / $112.80	Professional		$26.76	$51.04	$112.80