Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $781.46 / $15,774.00	Facility		$100.00	$781.46	$15,774.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $140.29 / $754.87	Professional		$134.88	$140.29	$754.87
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 $216.72 / $298.20 / $429.83	Professional		$216.72	$298.20	$429.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.87 / $468.84 / $761.42	Professional		$281.87	$468.84	$761.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $273.29 / $509.72 / $882.72	Professional		$273.29	$509.72	$882.72
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 $307.43 / $401.44 / $706.48	Professional		$307.43	$401.44	$706.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $170.55 / $215.13 / $329.99	Professional		$170.55	$215.13	$329.99