Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $291.91 / $8,965.00	Facility		$100.00	$291.91	$8,965.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,252.78 / $6,693.82 / $6,693.82	Facility	50	$4,252.78	$6,693.82	$6,693.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $177.69 / $291.91	Professional		$111.80	$177.69	$291.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $680.00 / $680.00 / $723.45	Professional	50	$680.00	$680.00	$723.45
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 $102.21 / $176.82 / $258.58	Professional		$102.21	$176.82	$258.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $153.31 / $264.02 / $387.42	Professional	50	$153.31	$264.02	$387.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.63 / $1,306.21 / $1,351.93	Facility		$178.63	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.47 / $259.54 / $470.29	Professional		$147.47	$259.54	$470.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $127.73 / $245.18 / $529.62	Professional		$127.73	$245.18	$529.62
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 $221.56 / $329.13 / $559.82	Professional		$221.56	$329.13	$559.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $154.19 / $253.01	Professional		$91.11	$154.19	$253.01