Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $332.02 / $8,965.00	Facility		$100.00	$332.02	$8,965.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $166.01 / $166.01 / $166.01	Facility	52	$166.01	$166.01	$166.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $84.42 / $121.34	Professional		$73.27	$84.42	$121.34
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 $63.08 / $109.11 / $173.77	Professional		$63.08	$109.11	$173.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.65 / $1,306.21 / $1,351.93	Facility		$72.65	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $56.37 / $56.37 / $56.37	Facility	52	$56.37	$56.37	$56.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.06 / $127.39 / $240.26	Professional		$82.06	$127.39	$240.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $118.47 / $222.88	Professional		$72.20	$118.47	$222.88
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 $71.67 / $125.46 / $216.07	Professional		$71.67	$125.46	$216.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $67.51 / $93.39	Professional		$53.04	$67.51	$93.39