Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,021.09 / $9,859.00	Facility		$100.00	$1,021.09	$9,859.00
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 $208.63 / $251.03 / $710.47	Professional		$208.63	$251.03	$710.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $460.98 / $809.42	Professional		$292.45	$460.98	$809.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $438.69 / $703.97 / $1,252.30	Professional	50	$438.69	$703.97	$1,252.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.61 / $632.76 / $1,206.53	Professional		$337.61	$632.76	$1,206.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $307.16 / $713.98 / $1,499.51	Professional		$307.16	$713.98	$1,499.51
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 $428.71 / $820.61 / $1,728.53	Professional		$428.71	$820.61	$1,728.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $201.85 / $304.61 / $589.90	Professional		$201.85	$304.61	$589.90