Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $716.77 / $2,331.21	Facility		$100.00	$716.77	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.40 / $432.65 / $607.28	Professional		$188.40	$432.65	$607.28
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 $261.20 / $456.45 / $1,005.46	Professional		$261.20	$456.45	$1,005.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.80 / $355.80 / $355.80	Facility		$355.80	$355.80	$355.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.97 / $627.03 / $1,421.82	Professional		$290.97	$627.03	$1,421.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $255.87 / $645.72 / $1,528.20	Professional		$255.87	$645.72	$1,528.20
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 $494.79 / $715.20 / $1,448.80	Professional		$494.79	$715.20	$1,448.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $165.31 / $231.43 / $463.04	Professional		$165.31	$231.43	$463.04