Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $544.94 / $9,859.00	Facility		$100.00	$544.94	$9,859.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $669.35 / $669.35 / $669.35	Facility	50	$669.35	$669.35	$669.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $148.72 / $286.02	Professional		$129.33	$148.72	$286.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.41 / $267.68 / $392.47	Professional		$164.41	$267.68	$392.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.12 / $322.77 / $463.59	Professional		$203.12	$322.77	$463.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $169.97 / $337.19 / $559.90	Professional		$169.97	$337.19	$559.90
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.53 / $294.29 / $604.74	Professional		$194.53	$294.29	$604.74
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $116.52 / $139.82 / $220.69	Professional		$116.52	$139.82	$220.69