Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.63 / $938.88 / $2,331.21	Facility		$336.63	$938.88	$2,331.21
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.33 / $67.33 / $165.65	Facility	53	$67.33	$67.33	$165.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.92 / $194.78 / $319.39	Professional		$83.92	$194.78	$319.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $155.28 / $226.26	Professional		$79.90	$155.28	$226.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.37 / $224.03 / $496.76	Professional		$113.37	$224.03	$496.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $232.02 / $576.91	Professional		$97.68	$232.02	$576.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $7,448.00	Facility		$3,360.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $336.22 / $576.36	Professional		$216.49	$336.22	$576.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $159.44 / $243.02	Professional		$74.66	$159.44	$243.02