Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.01 / $226.39 / $1,422.00	Facility		$72.01	$226.39	$1,422.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $467.90 / $467.90 / $1,329.54	Facility	50	$467.90	$467.90	$1,329.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $86.75 / $226.39	Professional		$50.28	$86.75	$226.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $206.14 / $206.14 / $206.14	Professional	50	$206.14	$206.14	$206.14
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 $57.45 / $101.42 / $149.02	Professional		$57.45	$101.42	$149.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $101.38 / $152.13 / $222.65	Professional	50	$101.38	$152.13	$222.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $200.45 / $435.17	Professional		$79.61	$200.45	$435.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $71.30 / $191.83 / $521.73	Professional		$71.30	$191.83	$521.73
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 $112.74 / $240.13 / $489.64	Professional		$112.74	$240.13	$489.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $83.37 / $161.04	Professional		$48.42	$83.37	$161.04