Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,527.38 / $6,067.00	Facility		$100.00	$1,527.38	$6,067.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,066.19 / $4,039.88 / $5,845.40	Facility	50	$2,066.19	$4,039.88	$5,845.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.93 / $398.09 / $555.32	Professional		$347.93	$398.09	$555.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.56 / $319.88 / $471.65	Professional		$181.56	$319.88	$471.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $320.41 / $479.82 / $707.48	Professional	50	$320.41	$479.82	$707.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.33 / $474.10 / $883.47	Professional		$249.33	$474.10	$883.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $226.57 / $499.26 / $1,016.08	Professional		$226.57	$499.26	$1,016.08
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.95 / $599.47 / $1,149.95	Professional		$387.95	$599.47	$1,149.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $152.74 / $258.67 / $429.30	Professional		$152.74	$258.67	$429.30