Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $548.61 / $6,067.00	Facility		$100.00	$548.61	$6,067.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $113.74 / $274.30 / $591.00	Facility	52	$113.74	$274.30	$591.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $252.25 / $471.58	Professional		$129.11	$252.25	$471.58
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 $157.69 / $251.41 / $453.75	Professional		$157.69	$251.41	$453.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.56 / $353.84 / $674.45	Professional		$184.56	$353.84	$674.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $164.55 / $404.38 / $859.50	Professional		$164.55	$404.38	$859.50
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.11 / $474.14 / $842.15	Professional		$331.11	$474.14	$842.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $193.98 / $355.91	Professional		$112.66	$193.98	$355.91