Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $504.72 / $2,331.21	Facility		$100.00	$504.72	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $173.77 / $437.98	Professional		$68.33	$173.77	$437.98
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 $56.56 / $126.73 / $243.96	Professional		$56.56	$126.73	$243.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $178.99 / $408.82	Professional		$66.66	$178.99	$408.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $185.14 / $469.85	Professional		$72.98	$185.14	$469.85
United Facility/Professional Professional Modifier Low / Median / High Price $182.31 / $251.51 / $615.26	Professional		$182.31	$251.51	$615.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $59.02 / $142.94 / $200.13	Professional		$59.02	$142.94	$200.13