Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $588.84 / $9,772.37	Facility		$100.00	$588.84	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $218.78	Professional		$66.07	$114.82	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $114.82 / $162.18	Professional		$52.48	$114.82	$162.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $173.78 / $239.88	Professional	50	$79.43	$173.78	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $141.25 / $295.12	Professional		$75.86	$141.25	$295.12
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $245.47	Professional		$64.57	$125.89	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $275.42	Professional		$67.61	$128.82	$275.42
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $120.23	Facility		$74.13	$74.13	$120.23
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	50	$112.20	$112.20	$112.20