Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $153.27 / $8,965.00	Facility		$100.00	$153.27	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $55.07 / $153.27	Professional		$39.61	$55.07	$153.27
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 $46.51 / $71.20 / $105.97	Professional		$46.51	$71.20	$105.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $82.17 / $135.00	Professional		$46.94	$82.17	$135.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $81.53 / $135.38	Professional		$41.10	$81.53	$135.38
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 $49.24 / $74.17 / $149.79	Professional		$49.24	$74.17	$149.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $35.88 / $56.63	Professional		$29.90	$35.88	$56.63