Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $285.77 / $8,965.00	Facility		$100.00	$285.77	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $83.57 / $285.77	Professional		$68.70	$83.57	$285.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $13,932.60 / $24,290.01	Facility		$5,299.00	$13,932.60	$24,290.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.54 / $124.65 / $184.15	Professional		$85.54	$124.65	$184.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $165.58 / $223.70	Professional		$105.46	$165.58	$223.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $83.32 / $165.29 / $274.45	Professional		$83.32	$165.29	$274.45
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 $97.11 / $118.23 / $234.57	Professional		$97.11	$118.23	$234.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $100.41 / $141.69	Professional		$86.56	$100.41	$141.69