Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,678.80 / $9,859.00	Facility		$100.00	$2,678.80	$9,859.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $240.27 / $643.19 / $643.19	Facility	52	$240.27	$643.19	$643.19
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $96.11 / $257.27 / $257.27	Facility	53	$96.11	$257.27	$257.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.49 / $454.01 / $849.41	Professional		$310.49	$454.01	$849.41
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 $363.78 / $567.82 / $858.32	Professional		$363.78	$567.82	$858.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.41 / $633.04 / $980.92	Professional		$380.41	$633.04	$980.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $332.90 / $660.41 / $1,096.60	Professional		$332.90	$660.41	$1,096.60
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 $412.74 / $591.82 / $1,184.42	Professional		$412.74	$591.82	$1,184.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $246.01 / $295.20 / $445.92	Professional		$246.01	$295.20	$445.92