Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $597.78 / $6,067.00	Facility		$100.00	$597.78	$6,067.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,687.94 / $2,687.94 / $2,687.94	Facility	50	$2,687.94	$2,687.94	$2,687.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.47 / $146.78 / $331.53	Professional		$123.47	$146.78	$331.53
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 $190.24 / $285.67 / $422.39	Professional		$190.24	$285.67	$422.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $285.36 / $428.51 / $633.59	Professional	50	$285.36	$428.51	$633.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.52 / $349.12 / $476.53	Professional		$222.52	$349.12	$476.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $177.37 / $351.87 / $584.27	Professional		$177.37	$351.87	$584.27
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 $214.88 / $313.36 / $631.05	Professional		$214.88	$313.36	$631.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $123.02 / $147.62 / $233.00	Professional		$123.02	$147.62	$233.00