Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $329.90 / $8,965.00	Facility		$100.00	$329.90	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.68 / $104.29 / $165.71	Professional		$89.68	$104.29	$165.71
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 $103.28 / $150.87 / $252.44	Professional		$103.28	$150.87	$252.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.53 / $228.84 / $382.85	Professional		$148.53	$228.84	$382.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $114.34 / $234.51 / $458.31	Professional		$114.34	$234.51	$458.31
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 $168.70 / $221.30 / $670.37	Professional		$168.70	$221.30	$670.37
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $99.53 / $139.34	Professional		$70.84	$99.53	$139.34