Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $81.91 / $1,749.77	Facility		$37.25	$81.91	$1,749.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $34.29 / $93.74	Professional		$17.98	$34.29	$93.74
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 $22.97 / $43.67 / $81.06	Professional		$22.97	$43.67	$81.06
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $34.45 / $65.50 / $124.43	Professional	50	$34.45	$65.50	$124.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $54.45 / $108.49	Professional		$25.94	$54.45	$108.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $67.84 / $140.33	Professional		$29.95	$67.84	$140.33
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 $46.56 / $79.31 / $186.89	Professional		$46.56	$79.31	$186.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $35.84 / $50.18	Professional		$21.25	$35.84	$50.18