Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $616.65 / $2,331.21	Facility		$100.00	$616.65	$2,331.21
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $102.12 / $308.32 / $425.42	Facility	52	$102.12	$308.32	$425.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.91 / $173.34 / $697.25	Professional		$141.91	$173.34	$697.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $2,875.00	Facility		$1,449.90	$1,611.00	$2,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $271.82 / $931.93	Professional		$141.41	$271.82	$931.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.49 / $364.99 / $1,502.76	Professional		$166.49	$364.99	$1,502.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $459.79 / $1,479.17	Professional		$140.41	$459.79	$1,479.17
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,884.00 / $8,611.00	Facility		$930.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.18 / $814.47 / $1,540.60	Professional		$216.18	$814.47	$1,540.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $101.22 / $182.61 / $601.54	Professional		$101.22	$182.61	$601.54