Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.97 / $610.97 / $4,554.00	Facility		$203.97	$610.97	$4,554.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.18 / $401.90 / $610.97	Professional		$146.18	$401.90	$610.97
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 $170.27 / $327.52 / $693.13	Professional		$170.27	$327.52	$693.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.26 / $458.08 / $1,152.40	Professional		$188.26	$458.08	$1,152.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $177.63 / $456.58 / $1,212.66	Professional		$177.63	$456.58	$1,212.66
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $530.37 / $753.54 / $1,266.78	Professional		$530.37	$753.54	$1,266.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $121.28 / $310.24 / $522.77	Professional		$121.28	$310.24	$522.77