Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,505.04 / $9,859.00	Facility		$100.00	$1,505.04	$9,859.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,268.73 / $3,268.73 / $3,268.73	Facility	50	$3,268.73	$3,268.73	$3,268.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.60 / $365.53 / $677.78	Professional		$304.60	$365.53	$677.78
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 $389.25 / $577.95 / $851.85	Professional		$389.25	$577.95	$851.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $583.87 / $866.93 / $1,277.78	Professional	50	$583.87	$866.93	$1,277.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.11 / $708.24 / $961.65	Professional		$407.11	$708.24	$961.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $357.71 / $709.63 / $1,178.33	Professional		$357.71	$709.63	$1,178.33
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.66 / $601.34 / $1,096.14	Professional		$441.66	$601.34	$1,096.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $277.38 / $346.97 / $477.59	Professional		$277.38	$346.97	$477.59