Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $678.90 / $9,859.00	Facility		$100.00	$678.90	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.39 / $170.76 / $414.94	Professional		$105.39	$170.76	$414.94
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 $132.85 / $220.01 / $366.89	Professional		$132.85	$220.01	$366.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $199.27 / $330.01 / $550.33	Professional	50	$199.27	$330.01	$550.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.38 / $314.55 / $529.87	Professional		$175.38	$314.55	$529.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $154.84 / $332.24 / $648.13	Professional		$154.84	$332.24	$648.13
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 $256.36 / $328.64 / $752.28	Professional		$256.36	$328.64	$752.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $94.01 / $149.66 / $212.46	Professional		$94.01	$149.66	$212.46