Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $887.76 / $8,965.00	Facility		$100.00	$887.76	$8,965.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.32 / $139.76 / $177.55	Facility	53	$47.32	$139.76	$177.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.91 / $280.14 / $698.80	Professional		$168.91	$280.14	$698.80
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 $171.48 / $304.76 / $569.50	Professional		$171.48	$304.76	$569.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.06 / $451.88 / $1,064.29	Professional		$250.06	$451.88	$1,064.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $192.82 / $479.36 / $1,162.38	Professional		$192.82	$479.36	$1,162.38
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 $334.19 / $572.16 / $987.66	Professional		$334.19	$572.16	$987.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $131.68 / $225.65 / $405.36	Professional		$131.68	$225.65	$405.36