Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $931.42 / $8,965.00	Facility		$100.00	$931.42	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.64 / $290.79 / $378.53	Professional		$260.64	$290.79	$378.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.07 / $411.83 / $631.85	Professional		$238.07	$411.83	$631.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.58 / $278.58 / $278.58	Facility		$278.58	$278.58	$278.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.02 / $462.50 / $685.53	Professional		$309.02	$462.50	$685.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $272.54 / $428.76 / $841.19	Professional		$272.54	$428.76	$841.19
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 $280.10 / $377.95 / $676.28	Professional		$280.10	$377.95	$676.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $195.28 / $214.81 / $273.39	Professional		$195.28	$214.81	$273.39