Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.58 / $253.78 / $332.02	Facility		$91.58	$253.78	$332.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.02 / $79.30 / $132.22	Professional		$53.02	$79.30	$132.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $88.92 / $131.86	Professional		$53.53	$88.92	$131.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.05 / $137.28 / $197.79	Professional	50	$80.05	$137.28	$197.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.20 / $92.20 / $92.20	Facility		$92.20	$92.20	$92.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.51 / $125.75 / $210.86	Professional		$76.51	$125.75	$210.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $121.21 / $217.39	Professional		$66.70	$121.21	$217.39
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $128.62 / $224.28	Professional		$88.55	$128.62	$224.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $66.97 / $90.65	Professional		$43.62	$66.97	$90.65