Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.21 / $111.03 / $493.35	Facility		$37.21	$111.03	$493.35
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $375.49 / $375.49 / $618.40	Facility	50	$375.49	$375.49	$618.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $61.67 / $111.12	Professional		$11.96	$61.67	$111.12
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 $25.55 / $42.56 / $69.90	Professional		$25.55	$42.56	$69.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.32 / $64.05 / $93.27	Professional	50	$38.32	$64.05	$93.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $45.65 / $45.65	Facility		$45.65	$45.65	$45.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $105.61 / $233.80	Professional		$35.47	$105.61	$233.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $96.65 / $239.99	Professional		$31.93	$96.65	$239.99
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 $103.72 / $149.06 / $264.41	Professional		$103.72	$149.06	$264.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $69.92 / $104.88	Professional		$23.78	$69.92	$104.88