Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,088.50 / $1,088.50 / $5,415.50	Facility	50	$1,088.50	$1,088.50	$5,415.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.52 / $289.93 / $554.25	Professional		$242.52	$289.93	$554.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $217.17 / $217.17 / $217.17	Professional	50	$217.17	$217.17	$217.17
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 $319.16 / $475.32 / $699.29	Professional		$319.16	$475.32	$699.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $478.74 / $712.98 / $1,048.94	Professional	50	$478.74	$712.98	$1,048.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.13 / $581.09 / $790.96	Professional		$347.13	$581.09	$790.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $293.64 / $582.54 / $967.31	Professional		$293.64	$582.54	$967.31
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 $361.09 / $468.15 / $896.17	Professional		$361.09	$468.15	$896.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $226.85 / $281.77 / $390.60	Professional		$226.85	$281.77	$390.60