Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $100.00 / $1,749.77	Facility		$18.42	$100.00	$1,749.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $37.74 / $70.09	Professional		$14.31	$37.74	$70.09
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 $14.88 / $36.29 / $107.05	Professional		$14.88	$36.29	$107.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $22.32 / $53.55 / $168.66	Professional	50	$22.32	$53.55	$168.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $64.28 / $180.98	Professional		$16.87	$64.28	$180.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $75.36 / $218.28	Professional		$19.39	$75.36	$218.28
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 $52.58 / $96.19 / $226.81	Professional		$52.58	$96.19	$226.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $42.10 / $70.84	Professional		$13.57	$42.10	$70.84