Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $415.16 / $8,965.00	Facility		$100.00	$415.16	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.67 / $136.65 / $300.00	Professional		$118.67	$136.65	$300.00
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 $137.38 / $219.34 / $360.73	Professional		$137.38	$219.34	$360.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.56 / $325.94 / $573.53	Professional		$225.56	$325.94	$573.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $170.45 / $335.10 / $654.89	Professional		$170.45	$335.10	$654.89
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 $189.76 / $277.55 / $499.02	Professional		$189.76	$277.55	$499.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $130.97 / $183.36	Professional		$98.67	$130.97	$183.36