Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $588.84 / $8,912.51	Facility		$204.17	$588.84	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $562.34	Professional		$177.83	$223.87	$562.34
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $269.15 / $338.84 / $416.87	Professional	54	$269.15	$338.84	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $436.52	Professional		$204.17	$309.03	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $630.96	Professional		$223.87	$338.84	$630.96
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $562.34	Professional		$245.47	$371.54	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $562.34	Professional		$208.93	$302.00	$562.34
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $257.04	Facility		$158.49	$158.49	$257.04