Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,819.70 / $9,772.37	Facility		$616.60	$1,819.70	$9,772.37
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $125.89 / $125.89 / $323.59	Facility	53	$125.89	$125.89	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,890.45 / $8,709.64	Facility		$933.25	$3,890.45	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,890.45 / $8,709.64	Facility		$933.25	$3,890.45	$8,709.64
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $331.13 / $416.87	Facility		$245.47	$331.13	$416.87