Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $780.99 / $2,331.21	Facility		$100.00	$780.99	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.15 / $294.45 / $404.05	Professional		$214.15	$294.45	$404.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $2,875.00	Facility		$1,449.90	$1,611.00	$2,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.02 / $405.30 / $611.02	Professional		$257.02	$405.30	$611.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.33 / $478.61 / $916.57	Professional		$291.33	$478.61	$916.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $264.74 / $513.88 / $1,037.39	Professional		$264.74	$513.88	$1,037.39
United Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $4,314.00 / $9,565.00	Facility		$691.00	$4,314.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $342.85 / $493.89 / $967.59	Professional		$342.85	$493.89	$967.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $188.68 / $285.79 / $452.33	Professional		$188.68	$285.79	$452.33