Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $741.00 / $6,067.00	Facility		$100.00	$741.00	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.52 / $267.41 / $741.00	Professional		$192.52	$267.41	$741.00
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 $224.48 / $331.83 / $478.26	Professional		$224.48	$331.83	$478.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.17 / $446.50 / $767.00	Professional		$251.17	$446.50	$767.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $241.76 / $444.60 / $793.20	Professional		$241.76	$444.60	$793.20
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 $307.95 / $388.23 / $735.54	Professional		$307.95	$388.23	$735.54
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $162.21 / $206.44 / $281.36	Professional		$162.21	$206.44	$281.36