Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $331.52 / $2,331.21	Facility		$100.00	$331.52	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $113.14 / $168.68	Professional		$59.15	$113.14	$168.68
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 $91.22 / $163.58 / $307.81	Professional		$91.22	$163.58	$307.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.92 / $241.82 / $475.69	Professional		$124.92	$241.82	$475.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $118.98 / $259.29 / $513.50	Professional		$118.98	$259.29	$513.50
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 $161.44 / $238.73 / $606.79	Professional		$161.44	$238.73	$606.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $117.13 / $190.01	Professional		$67.00	$117.13	$190.01