Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,468.67 / $7,909.39	Facility		$100.00	$1,468.67	$7,909.39
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $293.73 / $293.73 / $293.73	Facility	53	$293.73	$293.73	$293.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.36 / $604.79 / $2,261.13	Professional		$383.36	$604.79	$2,261.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36,317.69 / $40,353.00 / $63,632.00	Facility		$36,317.69	$40,353.00	$63,632.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.05 / $698.32 / $1,146.72	Professional		$405.05	$698.32	$1,146.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.51 / $5,257.46 / $5,441.47	Facility		$705.51	$5,257.46	$5,441.47
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $141.10 / $141.10 / $141.10	Facility	53	$141.10	$141.10	$141.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.83 / $1,244.55 / $5,554.60	Professional		$576.83	$1,244.55	$5,554.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $504.46 / $2,296.29 / $6,046.57	Professional		$504.46	$2,296.29	$6,046.57
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,014.51 / $2,820.30 / $5,701.98	Professional		$2,014.51	$2,820.30	$5,701.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $324.75 / $615.08 / $2,732.97	Professional		$324.75	$615.08	$2,732.97