Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $419.18 / $8,965.00	Facility		$100.00	$419.18	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $106.96 / $217.07	Professional		$100.90	$106.96	$217.07
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 $118.70 / $190.38 / $314.14	Professional		$118.70	$190.38	$314.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $281.60 / $495.72	Professional		$194.75	$281.60	$495.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.24 / $291.82 / $570.32	Professional		$147.24	$291.82	$570.32
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 $164.90 / $217.34 / $431.19	Professional		$164.90	$217.34	$431.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $114.26 / $158.54	Professional		$84.80	$114.26	$158.54