Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $449.71 / $2,331.21	Facility		$100.00	$449.71	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.82 / $187.79 / $264.35	Professional		$126.82	$187.79	$264.35
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 $146.16 / $230.26 / $391.05	Professional		$146.16	$230.26	$391.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $306.20 / $583.27	Professional		$164.02	$306.20	$583.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $303.48 / $680.86	Professional		$148.86	$303.48	$680.86
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,884.00 / $8,611.00	Facility		$930.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.59 / $332.38 / $631.85	Professional		$223.59	$332.38	$631.85
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $175.36 / $245.50	Professional		$104.91	$175.36	$245.50