Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.94 / $1,466.32 / $7,551.90	Facility		$139.94	$1,466.32	$7,551.90
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.09 / $52.09 / $293.26	Facility	53	$52.09	$52.09	$293.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.25 / $295.17 / $970.21	Professional		$136.25	$295.17	$970.21
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 $184.80 / $321.20 / $1,478.31	Professional		$184.80	$321.20	$1,478.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.11 / $623.69 / $2,579.71	Professional		$228.11	$623.69	$2,579.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $188.59 / $907.24 / $2,800.20	Professional		$188.59	$907.24	$2,800.20
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 $1,375.31 / $1,763.32 / $3,413.77	Professional		$1,375.31	$1,763.32	$3,413.77
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $128.56 / $729.58 / $1,115.34	Professional		$128.56	$729.58	$1,115.34