Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $612.00 / $8,965.00	Facility		$100.00	$612.00	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.37 / $233.30 / $612.00	Professional		$171.37	$233.30	$612.00
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 $185.67 / $282.33 / $406.92	Professional		$185.67	$282.33	$406.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $388.27 / $635.66	Professional		$220.74	$388.27	$635.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $208.87 / $383.43 / $664.01	Professional		$208.87	$383.43	$664.01
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 $256.56 / $328.89 / $612.77	Professional		$256.56	$328.89	$612.77
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $130.60 / $166.50 / $221.12	Professional		$130.60	$166.50	$221.12