Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $940.69 / $6,067.00	Facility		$100.00	$940.69	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.53 / $655.59 / $913.38	Professional		$188.53	$655.59	$913.38
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 $211.79 / $404.54 / $1,385.61	Professional		$211.79	$404.54	$1,385.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.86 / $720.04 / $2,281.52	Professional		$229.86	$720.04	$2,281.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $219.40 / $785.41 / $2,424.17	Professional		$219.40	$785.41	$2,424.17
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 $751.02 / $1,293.90 / $2,410.71	Professional		$751.02	$1,293.90	$2,410.71
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $150.79 / $583.74 / $829.79	Professional		$150.79	$583.74	$829.79