Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.93 / $2,317.67 / $3,764.10	Facility		$973.93	$2,317.67	$3,764.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,794.48 / $2,794.48 / $2,794.48	Facility	50	$2,794.48	$2,794.48	$2,794.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.38 / $523.38 / $632.10	Professional		$467.38	$523.38	$632.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,764.42 / $1,764.42 / $2,476.29	Professional	50	$1,764.42	$1,764.42	$2,476.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.07 / $782.42 / $1,167.67	Professional		$533.07	$782.42	$1,167.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $799.60 / $1,173.63 / $1,751.50	Professional	50	$799.60	$1,173.63	$1,751.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,862.32 / $2,862.32 / $2,962.50	Facility		$2,862.32	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.74 / $931.02 / $1,632.74	Professional		$595.74	$931.02	$1,632.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $675.02 / $1,290.01 / $2,124.71	Professional		$675.02	$1,290.01	$2,124.71
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.54 / $1,035.02 / $2,334.05	Professional		$646.54	$1,035.02	$2,334.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $474.22 / $583.41 / $747.54	Professional		$474.22	$583.41	$747.54