Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $251.69 / $2,331.21	Facility		$100.00	$251.69	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $50.93 / $88.46	Professional		$25.46	$50.93	$88.46
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 $27.17 / $66.25 / $142.41	Professional		$27.17	$66.25	$142.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.75 / $97.75 / $219.69	Professional	50	$40.75	$97.75	$219.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $84.71 / $225.92	Professional		$31.20	$84.71	$225.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $98.50 / $276.50	Professional		$35.45	$98.50	$276.50
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 $66.70 / $114.41 / $290.80	Professional		$66.70	$114.41	$290.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $50.32 / $91.18	Professional		$25.09	$50.32	$91.18