Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $406.41 / $8,965.00	Facility		$100.00	$406.41	$8,965.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $48.80 / $161.13 / $203.21	Facility	52	$48.80	$161.13	$203.21
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.52 / $64.45 / $81.28	Facility	53	$19.52	$64.45	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.17 / $112.44 / $246.97	Professional		$88.17	$112.44	$246.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $44.09 / $56.06 / $161.13	Professional	52	$44.09	$56.06	$161.13
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $17.63 / $22.42 / $64.45	Professional	53	$17.63	$22.42	$64.45
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 $78.06 / $110.01 / $189.49	Professional		$78.06	$110.01	$189.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.43 / $177.08 / $294.44	Professional		$106.43	$177.08	$294.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $173.79 / $344.02	Professional		$79.75	$173.79	$344.02
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 $133.33 / $164.90 / $296.47	Professional		$133.33	$164.90	$296.47
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $85.06 / $116.00	Professional		$50.08	$85.06	$116.00