Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.30 / $547.07 / $2,812.32	Facility		$142.30	$547.07	$2,812.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.68 / $181.37 / $454.39	Professional		$134.68	$181.37	$454.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $263.26 / $423.54	Professional		$162.69	$263.26	$423.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.97 / $334.41 / $563.23	Professional		$186.97	$334.41	$563.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $212.22 / $424.57 / $703.71	Professional		$212.22	$424.57	$703.71
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.52 / $328.29 / $787.15	Professional		$213.52	$328.29	$787.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $134.87 / $181.08 / $282.80	Professional		$134.87	$181.08	$282.80