Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.70 / $228.76 / $1,749.77	Facility		$95.70	$228.76	$1,749.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $97.58 / $166.27	Professional		$57.77	$97.58	$166.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.53 / $54.53 / $163.58	Professional	50	$54.53	$54.53	$163.58
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 $50.78 / $87.84 / $143.66	Professional		$50.78	$87.84	$143.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $76.17 / $131.16 / $209.85	Professional	50	$76.17	$131.16	$209.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $1,306.21 / $1,351.93	Facility		$87.90	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $146.37 / $277.29	Professional		$69.64	$146.37	$277.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $137.49 / $309.87	Professional		$63.47	$137.49	$309.87
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 $128.38 / $179.34 / $310.42	Professional		$128.38	$179.34	$310.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $81.27 / $121.91	Professional		$42.99	$81.27	$121.91