Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $181.04 / $2,331.21	Facility		$100.00	$181.04	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $56.32 / $89.29	Professional		$48.85	$56.32	$89.29
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 $34.61 / $53.11 / $77.20	Professional		$34.61	$53.11	$77.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $51.91 / $81.65 / $115.51	Professional	50	$51.91	$81.65	$115.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $67.36 / $115.00	Professional		$46.84	$67.36	$115.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $71.18 / $130.51	Professional		$43.83	$71.18	$130.51
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 $56.01 / $77.11 / $134.88	Professional		$56.01	$77.11	$134.88
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $42.11 / $65.22	Professional		$31.36	$42.11	$65.22