Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $934.84 / $6,067.00	Facility		$100.00	$934.84	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.79 / $150.27 / $186.52	Professional		$109.79	$150.27	$186.52
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 $148.79 / $226.80 / $374.12	Professional		$148.79	$226.80	$374.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,751.69 / $1,751.69 / $1,812.99	Facility		$1,751.69	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.91 / $276.93 / $557.99	Professional		$176.91	$276.93	$557.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $335.71 / $606.04	Professional		$170.34	$335.71	$606.04
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 $191.74 / $293.05 / $518.25	Professional		$191.74	$293.05	$518.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $131.12 / $166.88	Professional		$119.20	$131.12	$166.88