Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $175.84 / $2,331.21	Facility		$100.00	$175.84	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $80.09 / $175.84	Professional		$47.14	$80.09	$175.84
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.69 / $40.04 / $87.92	Professional	52	$23.69	$40.04	$87.92
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $9.47 / $16.02 / $35.17	Professional	53	$9.47	$16.02	$35.17
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 $52.43 / $80.55 / $140.38	Professional		$52.43	$80.55	$140.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $127.26 / $215.52	Professional		$77.66	$127.26	$215.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $126.89 / $254.88	Professional		$58.22	$126.89	$254.88
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 $93.27 / $112.75 / $207.38	Professional		$93.27	$112.75	$207.38
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $54.54 / $81.06	Professional		$36.36	$54.54	$81.06