Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $538.67 / $2,331.21	Facility		$100.00	$538.67	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.68 / $192.83 / $297.32	Professional		$137.68	$192.83	$297.32
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 $206.06 / $333.45 / $437.50	Professional		$206.06	$333.45	$437.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.97 / $340.97 / $340.97	Facility		$340.97	$340.97	$340.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.05 / $402.88 / $677.04	Professional		$270.05	$402.88	$677.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $248.08 / $412.63 / $776.47	Professional		$248.08	$412.63	$776.47
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 $243.67 / $399.62 / $786.18	Professional		$243.67	$399.62	$786.18
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $154.09 / $184.52 / $221.42	Professional		$154.09	$184.52	$221.42