Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,258.58 / $9,859.00	Facility		$100.00	$1,258.58	$9,859.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $160.75 / $160.75 / $714.82	Facility	52	$160.75	$160.75	$714.82
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $64.30 / $64.30 / $285.93	Facility	53	$64.30	$64.30	$285.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.33 / $384.42 / $1,258.59	Professional		$229.33	$384.42	$1,258.59
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 $245.42 / $467.55 / $1,699.63	Professional		$245.42	$467.55	$1,699.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $835.16 / $2,735.59	Professional		$270.00	$835.16	$2,735.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $253.57 / $966.11 / $2,981.90	Professional		$253.57	$966.11	$2,981.90
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.30 / $1,574.25 / $2,961.42	Professional		$1,138.30	$1,574.25	$2,961.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $172.81 / $671.25 / $1,010.65	Professional		$172.81	$671.25	$1,010.65