Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.50 / $2,331.21 / $2,888.73	Facility		$472.50	$2,331.21	$2,888.73
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $286.20 / $286.20 / $286.20	Facility	52	$286.20	$286.20	$286.20
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $114.48 / $114.48 / $114.48	Facility	53	$114.48	$114.48	$114.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.07 / $472.50 / $621.26	Professional		$395.07	$472.50	$621.26
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 $317.00 / $731.37 / $1,261.39	Professional		$317.00	$731.37	$1,261.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,472.40 / $2,472.40 / $2,558.92	Facility		$2,472.40	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.60 / $625.79 / $1,010.03	Professional		$366.60	$625.79	$1,010.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $362.89 / $637.34 / $1,195.40	Professional		$362.89	$637.34	$1,195.40
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 $391.89 / $533.17 / $960.40	Professional		$391.89	$533.17	$960.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $286.31 / $364.39 / $3,000.00	Professional		$286.31	$364.39	$3,000.00