Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.94 / $215.68 / $250.77	Professional		$117.94	$215.68	$250.77
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 $178.14 / $288.16 / $516.50	Professional		$178.14	$288.16	$516.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $267.20 / $432.25 / $825.03	Professional	50	$267.20	$432.25	$825.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.34 / $403.36 / $792.89	Professional		$211.34	$403.36	$792.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $188.59 / $463.46 / $978.36	Professional		$188.59	$463.46	$978.36
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 $376.64 / $528.69 / $1,127.78	Professional		$376.64	$528.69	$1,127.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $123.02 / $215.45 / $306.94	Professional		$123.02	$215.45	$306.94