Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $933.25 / $9,772.37	Facility		$512.86	$933.25	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $630.96	Professional		$194.98	$269.15	$630.96
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $154.88 / $251.19 / $380.19	Professional	54	$154.88	$251.19	$380.19
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 $208.93 / $331.13 / $457.09	Professional		$208.93	$331.13	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $676.08	Professional		$257.04	$371.54	$676.08
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 $251.19 / $380.19 / $575.44	Professional		$251.19	$380.19	$575.44
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 $239.88 / $331.13 / $602.56	Professional		$239.88	$331.13	$602.56
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $275.42	Facility		$169.82	$169.82	$275.42