Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,095.27 / $22,533.00	Facility		$100.00	$6,095.27	$22,533.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.75 / $588.12 / $1,404.98	Professional		$146.75	$588.12	$1,404.98
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $73.38 / $205.30 / $702.49	Professional	52	$73.38	$205.30	$702.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.86 / $563.53 / $2,190.14	Professional		$289.86	$563.53	$2,190.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.85 / $974.06 / $3,756.76	Professional		$483.85	$974.06	$3,756.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $372.26 / $1,274.20 / $3,932.82	Professional		$372.26	$1,274.20	$3,932.82
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,796.59 / $2,342.91 / $4,988.93	Professional		$1,796.59	$2,342.91	$4,988.93
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $185.06 / $984.53 / $1,654.72	Professional		$185.06	$984.53	$1,654.72