Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $497.62 / $6,067.00	Facility		$100.00	$497.62	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $145.24 / $250.97	Professional		$119.70	$145.24	$250.97
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 $149.60 / $216.60 / $320.81	Professional		$149.60	$216.60	$320.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.31 / $283.89 / $389.95	Professional		$171.31	$283.89	$389.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $145.16 / $287.97 / $478.17	Professional		$145.16	$287.97	$478.17
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 $167.01 / $201.70 / $400.15	Professional		$167.01	$201.70	$400.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $103.28 / $113.61 / $144.59	Professional		$103.28	$113.61	$144.59