Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.23 / $143.62 / $8,965.00	Facility		$91.23	$143.62	$8,965.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,785.95 / $3,785.95 / $3,785.95	Facility	50	$3,785.95	$3,785.95	$3,785.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.42 / $91.23 / $143.63	Professional		$62.42	$91.23	$143.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $336.00 / $386.00 / $386.00	Professional	50	$336.00	$386.00	$386.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $98.70 / $145.47	Professional		$57.58	$98.70	$145.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $86.37 / $148.72 / $218.22	Professional	50	$86.37	$148.72	$218.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.68 / $101.68 / $101.68	Facility		$101.68	$101.68	$101.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.90 / $139.65 / $244.80	Professional		$82.90	$139.65	$244.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $133.86 / $260.02	Professional		$70.42	$133.86	$260.02
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.50 / $167.15 / $275.10	Professional		$108.50	$167.15	$275.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $75.34 / $105.69	Professional		$51.48	$75.34	$105.69