Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $615.91 / $6,067.00	Facility		$100.00	$615.91	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $215.68 / $262.43	Professional		$75.95	$215.68	$262.43
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 $108.91 / $194.17 / $425.17	Professional		$108.91	$194.17	$425.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.89 / $361.47 / $786.96	Professional		$167.89	$361.47	$786.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $328.13 / $873.20	Professional		$123.62	$328.13	$873.20
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.93 / $524.50 / $1,066.45	Professional		$373.93	$524.50	$1,066.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $213.69 / $320.54	Professional		$87.07	$213.69	$320.54