Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $941.42 / $6,067.00	Facility		$100.00	$941.42	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.07 / $221.74 / $491.12	Professional		$110.07	$221.74	$491.12
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 $149.49 / $273.94 / $398.77	Professional		$149.49	$273.94	$398.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.46 / $446.24 / $905.10	Professional		$220.46	$446.24	$905.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $191.56 / $472.41 / $1,074.34	Professional		$191.56	$472.41	$1,074.34
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 $348.08 / $498.03 / $1,004.28	Professional		$348.08	$498.03	$1,004.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $121.72 / $213.06 / $332.77	Professional		$121.72	$213.06	$332.77