Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $545.49 / $8,965.00	Facility		$100.00	$545.49	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $233.28 / $545.49	Professional		$135.13	$233.28	$545.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $271.16 / $448.30	Professional		$154.91	$271.16	$448.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.30 / $357.12 / $677.85	Professional		$179.30	$357.12	$677.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $170.03 / $375.71 / $759.37	Professional		$170.03	$375.71	$759.37
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.26 / $424.75 / $843.49	Professional		$282.26	$424.75	$843.49
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $104.36 / $168.41 / $251.21	Professional		$104.36	$168.41	$251.21