Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $612.75 / $8,965.00	Facility		$100.00	$612.75	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.96 / $283.39 / $612.75	Professional		$182.96	$283.39	$612.75
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 $207.64 / $318.56 / $495.33	Professional		$207.64	$318.56	$495.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.64 / $435.78 / $717.15	Professional		$234.64	$435.78	$717.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $209.70 / $443.96 / $872.06	Professional		$209.70	$443.96	$872.06
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 $335.56 / $442.77 / $975.57	Professional		$335.56	$442.77	$975.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $211.18 / $295.64	Professional		$148.13	$211.18	$295.64