Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $356.73 / $8,965.00	Facility		$100.00	$356.73	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $101.28 / $236.09	Professional		$86.76	$101.28	$236.09
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 $96.72 / $148.41 / $214.46	Professional		$96.72	$148.41	$214.46
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $145.08 / $222.63 / $321.69	Professional	50	$145.08	$222.63	$321.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $180.50 / $246.03	Professional		$128.19	$180.50	$246.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $198.89 / $364.72	Professional		$121.79	$198.89	$364.72
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 $139.01 / $170.79 / $379.89	Professional		$139.01	$170.79	$379.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $93.98 / $126.09	Professional		$77.76	$93.98	$126.09