Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.48 / $673.25 / $4,907.09	Facility		$111.48	$673.25	$4,907.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.93 / $111.49 / $250.60	Professional		$97.93	$111.49	$250.60
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 $143.10 / $215.45 / $315.30	Professional		$143.10	$215.45	$315.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.50 / $264.57 / $362.94	Professional		$168.50	$264.57	$362.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $263.73 / $437.92	Professional		$132.94	$263.73	$437.92
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $207.27 / $401.27	Professional		$161.68	$207.27	$401.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $112.38 / $177.37	Professional		$93.65	$112.38	$177.37