Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $781.42 / $6,067.00	Facility		$100.00	$781.42	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.07 / $390.88 / $640.85	Professional		$215.07	$390.88	$640.85
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 $216.16 / $372.10 / $571.63	Professional		$216.16	$372.10	$571.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.62 / $1,751.69 / $1,812.99	Facility		$375.62	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.17 / $599.20 / $1,139.32	Professional		$308.17	$599.20	$1,139.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $268.81 / $554.60 / $1,245.00	Professional		$268.81	$554.60	$1,245.00
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 $583.05 / $782.73 / $1,339.99	Professional		$583.05	$782.73	$1,339.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $285.83 / $544.80	Professional		$204.17	$285.83	$544.80