Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $193.10 / $9,859.00	Facility		$100.00	$193.10	$9,859.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $38.61 / $38.61 / $38.61	Facility	53	$38.61	$38.61	$38.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $54.71 / $102.24	Professional		$33.50	$54.71	$102.24
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 $45.53 / $82.65 / $130.47	Professional		$45.53	$82.65	$130.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.01 / $115.25 / $160.97	Professional		$79.01	$115.25	$160.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $91.24 / $157.36	Professional		$47.79	$91.24	$157.36
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 $59.45 / $86.35 / $246.10	Professional		$59.45	$86.35	$246.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $42.80 / $64.47	Professional		$36.71	$42.80	$64.47