Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $242.30 / $2,331.21	Facility		$100.00	$242.30	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $102.45 / $281.93	Professional		$55.89	$102.45	$281.93
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 $59.59 / $119.04 / $254.23	Professional		$59.59	$119.04	$254.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $154.66 / $350.73	Professional		$68.20	$154.66	$350.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $77.64 / $187.72 / $424.10	Professional		$77.64	$187.72	$424.10
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 $118.09 / $235.23 / $513.49	Professional		$118.09	$235.23	$513.49
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $55.84 / $96.14 / $161.13	Professional		$55.84	$96.14	$161.13