Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.17 / $922.20 / $2,341.64	Facility		$260.17	$922.20	$2,341.64
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $461.10 / $461.10 / $857.52	Facility	52	$461.10	$461.10	$857.52
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $184.44 / $184.44 / $343.01	Facility	53	$184.44	$184.44	$343.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.11 / $441.55 / $711.82	Professional		$232.11	$441.55	$711.82
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 $192.79 / $433.95 / $739.02	Professional		$192.79	$433.95	$739.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,751.69 / $1,751.69 / $1,812.99	Facility		$1,751.69	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.30 / $571.63 / $1,276.20	Professional		$280.30	$571.63	$1,276.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $239.79 / $548.02 / $1,358.58	Professional		$239.79	$548.02	$1,358.58
United Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $3,884.00 / $8,611.00	Facility		$864.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.19 / $689.86 / $1,224.67	Professional		$447.19	$689.86	$1,224.67
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $172.95 / $344.58 / $516.87	Professional		$172.95	$344.58	$516.87