Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.34 / $2,188.44 / $5,442.45	Facility		$169.34	$2,188.44	$5,442.45
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $56.21 / $56.21 / $173.49	Facility	53	$56.21	$56.21	$173.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.12 / $532.44 / $642.49	Professional		$156.12	$532.44	$642.49
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 $180.27 / $319.43 / $810.26	Professional		$180.27	$319.43	$810.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.85 / $650.58 / $1,694.12	Professional		$252.85	$650.58	$1,694.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $203.36 / $550.88 / $1,664.12	Professional		$203.36	$550.88	$1,664.12
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 $840.35 / $1,167.63 / $2,268.42	Professional		$840.35	$1,167.63	$2,268.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $493.05 / $785.09	Professional		$143.19	$493.05	$785.09