Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.36 / $731.82 / $6,067.00	Facility		$293.36	$731.82	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $225.01 / $551.53	Professional		$140.19	$225.01	$551.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $687.57 / $687.57 / $687.57	Professional	50	$687.57	$687.57	$687.57
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 $251.24 / $401.40 / $609.90	Professional		$251.24	$401.40	$609.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $376.86 / $635.75 / $914.86	Professional	50	$376.86	$635.75	$914.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.35 / $662.02 / $958.62	Professional		$425.35	$662.02	$958.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $323.93 / $560.88 / $1,048.08	Professional		$323.93	$560.88	$1,048.08
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 $429.35 / $550.41 / $1,192.26	Professional		$429.35	$550.41	$1,192.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $178.07 / $270.04 / $407.40	Professional		$178.07	$270.04	$407.40