Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.21 / $372.61 / $2,735.10	Facility		$61.21	$372.61	$2,735.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.21 / $82.91 / $189.59	Professional		$61.21	$82.91	$189.59
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 $107.73 / $161.74 / $235.44	Professional		$107.73	$161.74	$235.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.88 / $212.00 / $305.58	Professional		$119.88	$212.00	$305.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $114.42 / $226.99 / $376.91	Professional		$114.42	$226.99	$376.91
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 $141.30 / $158.37 / $307.54	Professional		$141.30	$158.37	$307.54
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $96.71 / $152.63	Professional		$80.59	$96.71	$152.63