Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.05 / $572.79 / $4,452.30	Facility		$165.05	$572.79	$4,452.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.25 / $175.81 / $322.95	Professional		$102.25	$175.81	$322.95
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 $116.49 / $202.56 / $299.54	Professional		$116.49	$202.56	$299.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $273.36 / $460.45	Professional		$138.91	$273.36	$460.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $261.41 / $510.88	Professional		$129.53	$261.41	$510.88
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 $161.88 / $245.50 / $500.25	Professional		$161.88	$245.50	$500.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $118.92 / $163.92	Professional		$79.28	$118.92	$163.92