Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $256.50 / $2,331.21	Facility		$100.00	$256.50	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $88.84 / $142.87	Professional		$45.68	$88.84	$142.87
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.84 / $44.42 / $89.60	Professional	52	$22.84	$44.42	$89.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $69.23 / $146.24	Professional		$36.38	$69.23	$146.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $98.73 / $233.90	Professional		$42.02	$98.73	$233.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $97.69 / $259.45	Professional		$37.54	$97.69	$259.45
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.19 / $139.04 / $299.08	Professional		$103.19	$139.04	$299.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $60.15 / $92.91	Professional		$26.63	$60.15	$92.91