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 $120.10 / $159.63 / $225.64	Professional		$120.10	$159.63	$225.64
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 $113.86 / $188.61 / $264.36	Professional		$113.86	$188.61	$264.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.98 / $197.98 / $197.98	Facility		$197.98	$197.98	$197.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.25 / $239.29 / $396.97	Professional		$159.25	$239.29	$396.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $254.63 / $463.77	Professional		$142.29	$254.63	$463.77
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.82 / $251.49 / $445.01	Professional		$179.82	$251.49	$445.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $128.90 / $170.17	Professional		$89.96	$128.90	$170.17