Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $9,859.00	Facility		$100.00	$100.00	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $92.78 / $145.19	Professional		$63.22	$92.78	$145.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $99.25 / $146.29	Professional		$58.58	$99.25	$146.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $86.85 / $149.55 / $219.44	Professional	50	$86.85	$149.55	$219.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $102.18 / $102.18	Facility		$102.18	$102.18	$102.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.37 / $140.54 / $245.74	Professional		$84.37	$140.54	$245.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $133.40 / $259.13	Professional		$70.81	$133.40	$259.13
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 $112.65 / $168.40 / $277.14	Professional		$112.65	$168.40	$277.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $76.06 / $106.50	Professional		$52.12	$76.06	$106.50