Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $181.97	Facility		$134.90	$134.90	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $60.26	Professional		$18.20	$32.36	$60.26
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 $15.49 / $33.88 / $47.86	Professional		$15.49	$33.88	$47.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $22.91 / $51.29 / $72.44	Professional	50	$22.91	$51.29	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $45.71 / $89.13	Professional		$25.12	$45.71	$89.13
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 $19.05 / $35.48 / $67.61	Professional		$19.05	$35.48	$67.61
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 $21.38 / $41.69 / $77.62	Professional		$21.38	$41.69	$77.62
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $36.31	Facility		$22.91	$22.91	$36.31