Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $198.26 / $2,331.21	Facility		$100.00	$198.26	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $61.93 / $124.12	Professional		$51.69	$61.93	$124.12
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 $47.87 / $75.30 / $106.53	Professional		$47.87	$75.30	$106.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $71.80 / $112.96 / $159.79	Professional	50	$71.80	$112.96	$159.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $105.30 / $158.29	Professional		$65.34	$105.30	$158.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $65.94 / $113.66 / $229.28	Professional		$65.94	$113.66	$229.28
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 $89.68 / $103.24 / $199.91	Professional		$89.68	$103.24	$199.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $59.02 / $79.76	Professional		$44.03	$59.02	$79.76