Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,375.54 / $3,313.74	Facility		$100.00	$2,375.54	$3,313.74
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $14,929.00 / $14,929.00 / $14,929.00	Facility	50	$14,929.00	$14,929.00	$14,929.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.90 / $664.30 / $1,562.24	Professional		$538.90	$664.30	$1,562.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.75 / $1,019.12 / $1,588.89	Professional		$717.75	$1,019.12	$1,588.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,076.61 / $1,566.89 / $2,383.34	Professional	50	$1,076.61	$1,566.89	$2,383.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.92 / $1,769.03 / $2,858.19	Professional		$972.92	$1,769.03	$2,858.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $864.94 / $1,600.98 / $2,877.91	Professional		$864.94	$1,600.98	$2,877.91
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,142.15 / $1,464.19 / $2,859.05	Professional		$1,142.15	$1,464.19	$2,859.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $578.21 / $726.84 / $991.14	Professional		$578.21	$726.84	$991.14