Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $265.00 / $8,965.00	Facility		$100.00	$265.00	$8,965.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $46.98 / $46.98 / $46.98	Facility	50	$46.98	$46.98	$46.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $119.28 / $190.73	Professional		$71.73	$119.28	$190.73
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 $62.62 / $107.99 / $171.98	Professional		$62.62	$107.99	$171.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $93.64 / $161.26 / $236.61	Professional	50	$93.64	$161.26	$236.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $1,306.21 / $1,351.93	Facility		$110.60	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.82 / $179.51 / $385.38	Professional		$87.82	$179.51	$385.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $186.24 / $440.43	Professional		$78.02	$186.24	$440.43
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $230.61 / $395.31	Professional		$171.00	$230.61	$395.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $109.13 / $163.69	Professional		$51.82	$109.13	$163.69