Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.80 / $463.15 / $2,331.21	Facility		$150.80	$463.15	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $120.08 / $319.25	Professional		$74.25	$120.08	$319.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $32.84 / $51.33 / $72.59	Professional	52	$32.84	$51.33	$72.59
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 $82.48 / $125.67 / $190.15	Professional		$82.48	$125.67	$190.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.26 / $184.90 / $336.97	Professional		$96.26	$184.90	$336.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $224.08 / $414.75	Professional		$107.59	$224.08	$414.75
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 $161.88 / $203.32 / $469.33	Professional		$161.88	$203.32	$469.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $105.03 / $147.04	Professional		$71.53	$105.03	$147.04