Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.17 / $2,642.06 / $8,564.65	Facility		$314.17	$2,642.06	$8,564.65
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $179.53 / $492.07 / $598.37	Facility	52	$179.53	$492.07	$598.37
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $71.81 / $196.83 / $239.35	Facility	53	$71.81	$196.83	$239.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.77 / $391.05 / $1,302.23	Professional		$266.77	$391.05	$1,302.23
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $53.60 / $78.20 / $196.83	Professional	53	$53.60	$78.20	$196.83
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 $261.35 / $462.81 / $2,089.89	Professional		$261.35	$462.81	$2,089.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.25 / $826.63 / $3,959.87	Professional		$329.25	$826.63	$3,959.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $292.81 / $1,381.96 / $4,265.42	Professional		$292.81	$1,381.96	$4,265.42
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 $435.26 / $2,148.73 / $4,262.95	Professional		$435.26	$2,148.73	$4,262.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $200.44 / $315.97 / $1,588.87	Professional		$200.44	$315.97	$1,588.87