Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $748.73 / $9,859.00	Facility		$100.00	$748.73	$9,859.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $93.52 / $93.52 / $374.36	Facility	52	$93.52	$93.52	$374.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $108.77 / $450.45	Professional		$88.28	$108.77	$450.45
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 $121.55 / $212.73 / $697.84	Professional		$121.55	$212.73	$697.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.92 / $528.37 / $1,312.78	Professional		$196.92	$528.37	$1,312.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $464.36 / $1,433.25	Professional		$135.44	$464.36	$1,433.25
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $644.46 / $871.79 / $1,617.39	Professional		$644.46	$871.79	$1,617.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $97.38 / $375.42 / $563.13	Professional		$97.38	$375.42	$563.13