Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $724.44 / $2,398.83	Facility		$97.72	$724.44	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $190.55 / $512.86	Professional		$66.07	$190.55	$512.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional	50	$3,388.44	$3,388.44	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $131.83 / $181.97	Professional		$57.54	$131.83	$181.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $194.98 / $269.15	Professional	50	$87.10	$194.98	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $204.17 / $575.44	Professional		$89.13	$204.17	$575.44
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $7,413.10	Facility		$3,388.44	$3,388.44	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $234.42 / $549.54	Professional		$70.79	$234.42	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $7,413.10	Facility		$3,388.44	$3,388.44	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $223.87 / $549.54	Professional		$79.43	$223.87	$549.54
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21