Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $671.49 / $6,067.00	Facility		$100.00	$671.49	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $157.33 / $671.49	Professional		$135.08	$157.33	$671.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,041.00	Facility		$8,992.79	$9,992.00	$19,041.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.79 / $297.68 / $439.15	Professional		$204.79	$297.68	$439.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.92 / $363.70 / $495.65	Professional		$230.92	$363.70	$495.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $184.41 / $365.83 / $607.46	Professional		$184.41	$365.83	$607.46
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 $229.97 / $306.06 / $592.53	Professional		$229.97	$306.06	$592.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $136.25 / $149.88 / $190.75	Professional		$136.25	$149.88	$190.75