Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $131.15 / $1,749.77	Facility		$43.25	$131.15	$1,749.77
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $19.78 / $60.46 / $159.38	Facility	52	$19.78	$60.46	$159.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $76.39 / $120.92	Professional		$31.21	$76.39	$120.92
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.61 / $38.20 / $60.46	Professional	52	$15.61	$38.20	$60.46
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 $30.53 / $57.57 / $118.90	Professional		$30.53	$57.57	$118.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $82.18 / $190.20	Professional		$34.90	$82.18	$190.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $79.62 / $211.46	Professional		$31.22	$79.62	$211.46
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 $83.92 / $122.45 / $200.43	Professional		$83.92	$122.45	$200.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $48.93 / $83.75	Professional		$21.95	$48.93	$83.75