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 52 Low / Median / High Price $373.43 / $373.43 / $1,181.06	Facility	52	$373.43	$373.43	$1,181.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $419.61 / $666.19	Professional		$123.58	$419.61	$666.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $61.79 / $209.81 / $333.10	Professional	52	$61.79	$209.81	$333.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.39 / $5,186.00 / $8,238.00	Facility		$4,667.39	$5,186.00	$8,238.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.68 / $427.67 / $1,111.48	Professional		$219.68	$427.67	$1,111.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.80 / $739.85 / $1,838.78	Professional		$367.80	$739.85	$1,838.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $282.52 / $648.94 / $1,946.41	Professional		$282.52	$648.94	$1,946.41
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 $866.50 / $1,207.60 / $2,406.17	Professional		$866.50	$1,207.60	$2,406.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $142.26 / $199.16 / $609.64	Professional		$142.26	$199.16	$609.64