Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $471.38 / $8,965.00	Facility		$100.00	$471.38	$8,965.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $101.94 / $235.69 / $333.15	Facility	52	$101.94	$235.69	$333.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.14 / $143.75 / $309.20	Professional		$99.14	$143.75	$309.20
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 $137.26 / $208.04 / $329.37	Professional		$137.26	$208.04	$329.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.54 / $305.36 / $486.80	Professional		$164.54	$305.36	$486.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $146.82 / $299.42 / $585.16	Professional		$146.82	$299.42	$585.16
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 $234.26 / $334.66 / $581.40	Professional		$234.26	$334.66	$581.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $98.36 / $149.37 / $201.98	Professional		$98.36	$149.37	$201.98