Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.77 / $1,903.00 / $4,612.10	Facility		$158.77	$1,903.00	$4,612.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $491.75 / $638.77	Professional		$146.59	$491.75	$638.77
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 $169.87 / $300.20 / $801.36	Professional		$169.87	$300.20	$801.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.72 / $634.00 / $1,683.82	Professional		$237.72	$634.00	$1,683.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $191.13 / $535.90 / $1,645.81	Professional		$191.13	$535.90	$1,645.81
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 $828.24 / $1,151.89 / $2,276.23	Professional		$828.24	$1,151.89	$2,276.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $488.30 / $781.34	Professional		$135.41	$488.30	$781.34