Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.12 / $205.68 / $5,314.73	Facility		$95.12	$205.68	$5,314.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.79 / $104.75 / $176.07	Professional		$62.79	$104.75	$176.07
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 $61.46 / $105.83 / $155.55	Professional		$61.46	$105.83	$155.55
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $92.19 / $158.75 / $232.93	Professional	50	$92.19	$158.75	$232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.26 / $1,306.21 / $1,351.93	Facility		$109.26	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $150.76 / $285.58	Professional		$86.10	$150.76	$285.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $147.43 / $319.97	Professional		$76.80	$147.43	$319.97
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 $102.02 / $155.47 / $293.38	Professional		$102.02	$155.47	$293.38
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $70.22 / $104.09	Professional		$41.24	$70.22	$104.09