Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.97 / $511.53 / $3,722.62	Facility		$215.97	$511.53	$3,722.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.26 / $225.17 / $321.89	Professional		$133.26	$225.17	$321.89
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 $150.51 / $266.50 / $396.03	Professional		$150.51	$266.50	$396.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.02 / $355.50 / $601.13	Professional		$183.02	$355.50	$601.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $169.19 / $345.63 / $675.48	Professional		$169.19	$345.63	$675.48
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.97 / $366.63 / $646.96	Professional		$257.97	$366.63	$646.96
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $164.67 / $234.75	Professional		$112.70	$164.67	$234.75