Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $404.36 / $8,965.00	Facility		$100.00	$404.36	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.05 / $143.28 / $404.36	Professional		$101.05	$143.28	$404.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.36 / $173.90 / $250.64	Professional		$118.36	$173.90	$250.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $249.07 / $405.44	Professional		$134.90	$249.07	$405.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $122.36 / $228.30 / $427.45	Professional		$122.36	$228.30	$427.45
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.07 / $208.08 / $793.09	Professional		$169.07	$208.08	$793.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $97.04 / $116.45	Professional		$76.75	$97.04	$116.45