Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $266.66 / $8,965.00	Facility		$100.00	$266.66	$8,965.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,403.45 / $3,403.45 / $3,403.45	Facility	50	$3,403.45	$3,403.45	$3,403.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $99.72 / $163.72	Professional		$65.05	$99.72	$163.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.06 / $489.03 / $489.03	Professional	50	$53.06	$489.03	$489.03
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 $51.51 / $85.38 / $135.86	Professional		$51.51	$85.38	$135.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.14 / $132.24 / $203.79	Professional	50	$77.14	$132.24	$203.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.34 / $1,306.21 / $1,351.93	Facility		$90.34	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $121.58 / $197.76	Professional		$71.81	$121.58	$197.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $64.27 / $116.81 / $209.49	Professional		$64.27	$116.81	$209.49
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 $83.73 / $143.88 / $213.33	Professional		$83.73	$143.88	$213.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $66.23 / $106.68	Professional		$41.67	$66.23	$106.68