Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $204.44 / $2,331.21	Facility		$100.00	$204.44	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $116.24 / $217.96	Professional		$52.91	$116.24	$217.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $115.44 / $244.32	Professional		$60.64	$115.44	$244.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $152.84 / $371.82	Professional		$64.84	$152.84	$371.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $151.18 / $392.29	Professional		$60.12	$151.18	$392.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $7,448.00	Facility		$3,360.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.22 / $261.75 / $757.78	Professional		$160.22	$261.75	$757.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $55.65 / $113.44	Professional		$39.75	$55.65	$113.44