Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.01 / $340.53 / $2,249.59	Facility		$87.01	$340.53	$2,249.59
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $115.83 / $170.27 / $221.21	Facility	52	$115.83	$170.27	$221.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $109.56 / $277.64	Professional		$81.54	$109.56	$277.64
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 $94.78 / $152.60 / $244.61	Professional		$94.78	$152.60	$244.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $217.49 / $396.53	Professional		$125.80	$217.49	$396.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $247.30 / $406.44	Professional		$123.62	$247.30	$406.44
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 $138.79 / $205.97 / $461.82	Professional		$138.79	$205.97	$461.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $104.72 / $145.29	Professional		$74.80	$104.72	$145.29