Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $9,772.37	Facility		$1,819.70	$2,398.83	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $323.59	Professional		$79.43	$213.80	$323.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	50	$204.17	$204.17	$204.17
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 $72.44 / $162.18 / $229.09	Professional		$72.44	$162.18	$229.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $239.88 / $338.84	Professional	50	$109.65	$239.88	$338.84
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 $107.15 / $239.88 / $562.34	Professional		$107.15	$239.88	$562.34
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 $89.13 / $263.03 / $562.34	Professional		$89.13	$263.03	$562.34
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 $91.20 / $229.09 / $524.81	Professional		$91.20	$229.09	$524.81
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $288.40	Facility		$177.83	$177.83	$288.40
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	50	$269.15	$269.15	$269.15